Sang Pham, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

30-022960 Issued in OH

Practice address

150 S State St
Marion, OH 43302-3812

Phone

(740) 386-2700

NPI assigned

Apr 16, 2009

Last updated

Aug 9, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Braces One LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Marion, OH
  • NPI 1760618284
  NPD (past) Authorized official
• All Star Dental, LLC

  • Dentist
  • Marion, OH
  • NPI 1235751330
  NPD

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1124261391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S STATE ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433023812",
            "telephone_number": "646-400-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S STATE ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433023812",
            "telephone_number": "740-386-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1170 Upper Valley Pike",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455044018",
            "country_code": "US",
            "telephone_number": "937-525-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "683 Cooper Rd",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430818962",
            "country_code": "US",
            "telephone_number": "740-362-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "SANG",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-16",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30-022960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Persinger, CNP
• Melissa Peters
• Cheryl L Peterson, LPCC
• Julia Petraitis
• Rebecca Pfeiffer, LMT
• Emily S Phillips
• Danika Phipps
• Thomas Richard Pickett, P.A.
• Kayla Pierce
• Kaylee Pinkerton, MA, LPC

• Orthodontics and Dentofacial Orthopedics Dentistry in Marion, OH
• Providers in Marion, OH by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.