Individual provider Active NPI

Caleb Pham, DMD

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1083302905
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39907 Issued in TX
Practice address
16023 Langbrook CT
Houston, TX 77084-7549
Phone
(281) 736-3217
NPI assigned
Apr 27, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 39907 TX Primary

Addresses

Primary practice location

16023 Langbrook CT
Houston, TX 77084-7549

Mailing address

16023 Langbrook CT
Houston, TX 77084-7549
Phone (281) 736-3217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Western University of Health Sciences College of Dental Med, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

333 Laws Ave
Ukiah, CA 95482-6540

PO Box
Suite 5426
Portland, OR 97228-5426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39907TXMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: cpham755419@direct.ochin.org

NPI Registry JSON

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1083302905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16023 LANGBROOK CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770847549",
            "telephone_number": "281-736-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16023 LANGBROOK CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770847549",
            "telephone_number": "281-736-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "CALEB",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-27",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.