Christian a. Pham, DMD, LTD

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

5342 Issued in NV

Legal business name

CHRISTIAN A. PHAM, DMD, LTD

Practice address

60 S. Stephanie St.
Suite #100
Henderson, NV 89012

Phone

(702) 558-5788

NPI assigned

Oct 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Christian Alexander Pham, D.M.D

Title

President

Phone

(714) 206-0372

Specialties & licenses 1

Addresses

Other names 1

• CrestView Dental Doing business as

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1083866503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 RAVEN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89139",
            "telephone_number": "714-206-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 S. STEPHANIE ST.",
            "address_2": "SUITE #100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89012",
            "telephone_number": "702-558-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN A. PHAM, DMD, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-206-0372",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NV",
            "license": "5342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CrestView Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carey Christensen, M.S. / MFT INTERN
• David J. Christensen, M.D.
• Jacob Christensen, DO
• Ronald Lyle Christensen, MS MFT
• Tyler M Christensen, D.D.S.
• Benitez Christian
• Gina Christian
• Christianne M Yung, MD LTD
• Christine Navales DDS a Professional Corporation
• Christopher Burt, OD, PC

• Dental Clinic/Center in Henderson, NV
• Providers in Henderson, NV by specialty
• Dental Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.