Anthony Thanh Lam, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS035152 Issued in PA

Practice address

1611 S Broad St
Philadelphia, PA 19148-1003

Phone

(215) 271-6999

NPI assigned

Oct 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Anthony T. Lam, DMD, PC

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1578551628
  NPD (past) Authorized official

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218412800000",
    "number": "1093703233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191481003",
            "telephone_number": "215-271-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191481003",
            "telephone_number": "215-271-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "ANTHONY",
        "middle_name": "THANH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2008-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS035152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018705400001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lam Oculofacial Plastic Surgery PLLC
• Alan David Lam
• Alexander Lam, PHARMD
• Andrew Lam
• Annie Hui Lam, PH.D.
• Bang H Lam, PHARMD
• Candace Lam, M.D.
• Carly Lam, MD
• Celia Tran Lam, OTR/L
• Christina Lam, OTR/L

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.