Organization Active NPI

Pasadena Dental Smile, PLLC

Doing business as Victory Smiles Dental Center of Pasadena

  • General Practice Dentistry
  • Pasadena, TX
National Provider Identifier
1063920015
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PASADENA DENTAL SMILE, PLLC
Doing business as
Victory Smiles Dental Center of Pasadena
Practice address
4002 Burke Rd # 100
Pasadena, TX 77504-3451
Phone
(832) 368-0793
NPI assigned
Jan 11, 2018
Last updated
Jan 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James Pham, DDS
Title
Owner
Phone
(832) 368-0793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

4002 Burke Rd # 100
Pasadena, TX 77504-3451

Mailing address

7328 Antoine Dr
Houston, TX 77088-7230
Phone (281) 591-6500

Other names 1

  • Victory Smiles Dental Center of Pasadena Doing business as

National Provider Directory

National Provider Directory

Locations

4002 Burke Rd
#100
Pasadena, TX 77504
Phone (281) 741-2982

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515628800000",
    "number": "1063920015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7328 ANTOINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770887230",
            "telephone_number": "281-591-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 BURKE RD # 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775043451",
            "telephone_number": "832-368-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA DENTAL SMILE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-01-11",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-368-0793",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victory Smiles Dental Center of Pasadena",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.