Hagen & Pham Dental Partnership

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HAGEN & PHAM DENTAL PARTNERSHIP

Practice address

18426 Brookhurst St Ste 101
Fountain Valley, CA 92708-6777

Phone

(714) 965-5255

Fax

(714) 965-5253

NPI assigned

Nov 20, 2019

Organization subpart

No

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

Authorized official

Name

Christopher Storm Hagen, DDSNPI 1932551439

Title

Partner

Phone

(714) 965-5255

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Storm Hagen, DDS

  • Dentist
  • Fountain Valley, CA
  • NPI 1932551439
  NPD (past) Authorized official
• Bennie Van Pham, D.D.S.

  • Dentist
  • Fountain Valley, CA
  • NPI 1891931762
  NPD
• Peter Eric Hagen, DDS

  • General Practice Dentistry
  • Fountain Valley, CA
  • NPI 1457448441
  NPD (past)

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574208000000",
    "number": "1104462696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18426 BROOKHURST ST STE 101",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086777",
            "telephone_number": "714-965-5255",
            "fax_number": "714-965-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18426 BROOKHURST ST STE 101",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086777",
            "telephone_number": "714-965-5255",
            "fax_number": "714-965-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGEN & PHAM DENTAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A",
        "authorized_official_last_name": "HAGEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "STORM",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "714-965-5255",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hoang Minh Ha
• Ali Syed Habib, D.O
• David Hadiprodjo, M.D.
• Afsaneh Haftbaradaran Mohammadi, M.D.
• Jordan Ashley Hagadone, RBT
• Christopher Storm Hagen, DDS
• Peter Eric Hagen, DDS
• Katherine Maryam Haghighi, R.D.
• Hai X Le MD Inc
• Doe Hai

• General Practice Dentistry in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.