Amy H. Pham, a Professional Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

52451 Issued in CA

Legal business name

AMY H. PHAM, A PROFESSIONAL DENTAL CORPORATION

Practice address

2630 Olive Hwy
Suite a
Oroville, CA 95966-6138

Phone

(530) 534-6666

Fax

(530) 534-1040

NPI assigned

Feb 18, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Amy H Pham, DDS

Title

Owner

Phone

(530) 534-6666

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Prodental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peto Choti, DDS

  • General Practice Dentistry
  • Oroville, CA
  • NPI 1457240186
  NPD (past)

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1083005698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 OLIVE HWY",
            "address_2": "SUITE A",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959666138",
            "telephone_number": "530-534-6666",
            "fax_number": "530-534-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 OLIVE HWY",
            "address_2": "SUITE A",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959666138",
            "telephone_number": "530-534-6666",
            "fax_number": "530-534-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY H. PHAM, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2015-02-18",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-534-6666",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "52451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174509848",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prodental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hardeep Kaur Alvarez, PHARMD
• American Urology
• John David Amis
• Ampla Health
• Ampla Health
• Phillip T. Anderson, MD
• Andersons Medcare and Supplys
• Jeannie Anselmo
• Tahir M Anwar, D.O.
• Aocl, LLC

• All providers in Oroville, CA
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.