Active NPI
Linh Thi-Thuy Pham, DMD
- Dentist
- Tampa, FL
National Provider Identifier
1124183322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN17319
- Practice address
- 15148 N Dale Mabry Hwy
Tampa, FL 33618-1817 - Phone
- (813) 960-0106
- Fax
- (813) 964-5474
- NPI assigned
- Dec 27, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN17319 | FL | Primary |
Addresses
Primary practice location
15148 N Dale Mabry Hwy
Tampa, FL 33618-1817
Mailing address
8833 Auburn Way
Tampa, FL 33615-1201
Phone (813) 884-9764
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN17319 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124183322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8833 AUBURN WAY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336151201",
"telephone_number": "813-884-9764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15148 N DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336181817",
"telephone_number": "813-960-0106",
"fax_number": "813-964-5474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "LINH",
"middle_name": "THI-THUY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN17319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.