Khoa Dang Pham, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

27420 Issued in TX

Practice address

1120 E Pioneer Pkwy Ste 100
Arlington, TX 76010-6400

Phone

(714) 717-0705

NPI assigned

Sep 30, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Harmony Dentistry PA

  • Dentist
  • Arlington, TX
  • NPI 1073978078
  NPD (past) Authorized official

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

{
    "created_epoch": "1317340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1073897658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 TAUNTON CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760182383",
            "telephone_number": "714-717-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 E PIONEER PKWY STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760106400",
            "telephone_number": "714-717-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "KHOA",
        "middle_name": "DANG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-30",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "27420",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62083",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hoang-Quan Duong Pham, O.D.
• Jennifer Pham
• Jessica Hanh Pham, PA-C
• Jim Pham
• Jonathan Anhduy Pham, OD
• Minh-Khuyen Pham, APRN
• Nhan CHI Pham, M.D.
• Nhat-Nam Nguyen Pham, PHARMD, MPA
• Nicole T Pham
• Paul N Pham, DDS

• Dentist in Arlington, TX
• Providers in Arlington, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.