Organization Active NPI

Natalie N. Pham, DDS Inc

  • General Practice Dentistry
  • Fountain Valley, CA
National Provider Identifier
1104345008
Registry record updated Sep 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
64293 Issued in CA
Legal business name
NATALIE N. PHAM, DDS INC
Practice address
9092 Talbert Ave Ste 12
Fountain Valley, CA 92708-4475
Phone
(714) 963-6696
Fax
(714) 963-3345
NPI assigned
Sep 12, 2017
Last updated
Sep 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2017

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

Authorized official

Name
Dr. Natalie Ngoc Pham, DDSNPI 1689654873
Title
President
Phone
(443) 799-4662

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 64293 CA Primary

Addresses

Primary practice location

9092 Talbert Ave Ste 12
Fountain Valley, CA 92708-4475

Mailing address

9039 Lemongrass CT
Fountain Valley, CA 92708-5604
Phone (443) 799-4662

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505174400000",
    "number": "1104345008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9039 LEMONGRASS CT",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085604",
            "telephone_number": "443-799-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9092 TALBERT AVE STE 12",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084475",
            "telephone_number": "714-963-6696",
            "fax_number": "714-963-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATALIE N. PHAM, DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-12",
        "last_updated": "2017-09-12",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "NGOC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-799-4662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2017; 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.