Active NPI
Lanchi Pham, D.D.S
- General Practice Dentistry
- San Jose, CA
National Provider Identifier
1083610067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 46926
- Practice address
- 3005 Silver Creek Rd
Ste 146
San Jose, CA 95121-1789 - Phone
- (408) 238-7900
- Fax
- (408) 238-7909
- NPI assigned
- Jun 23, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 46926 | CA | Primary |
Addresses
Primary practice location
3005 Silver Creek Rd
Ste 146
San Jose, CA 95121-1789
Mailing address
3005 Silver Creek Rd
Ste 146
San Jose, CA 95121-1789
Phone (408) 238-7900
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
- Opted out of Medicare
- Yes, effective Apr 21, 2016 through Apr 21, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46926 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232582400000",
"number": "1083610067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3005 SILVER CREEK RD",
"address_2": "STE 146",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951211789",
"telephone_number": "408-238-7900",
"fax_number": "408-238-7909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 SILVER CREEK RD",
"address_2": "STE 146",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951211789",
"telephone_number": "408-238-7900",
"fax_number": "408-238-7909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "LANCHI",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-23",
"last_updated": "2009-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "46926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.