Krystal Hong-Quyen Pham, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

57473 Issued in CA

Practice address

16052 Beach Blvd Ste 112
Huntington Beach, CA 92647-3842

Phone

(714) 841-0203

NPI assigned

Sep 18, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Krystal Hong-Quyen Pham Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Krystal Pham DDS, Inc.

  dba Oceanic Dental

  • Dental Clinic/Center
  • Huntington Beach, CA
  • NPI 1245559624
  NPD (past) Authorized official

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1124277736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16052 BEACH BLVD",
            "address_2": "STE 112",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473801",
            "telephone_number": "714-841-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16052 BEACH BLVD STE 112",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473842",
            "telephone_number": "714-841-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "KRYSTAL",
        "middle_name": "HONG-QUYEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTAL",
            "last_name": "PHAM",
            "middle_name": "HONG-QUYEN",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ho Phong Nguyen Xuan Pham, MD
• Jefferey Pham, D.D.S
• John Pham
• John Quoc Pham
• Johnny Duy Pham
• Long Kim Pham
• Lynda Pham
• Quang Manh Pham, PHARMACIST
• Samantha Pham
• Sean Pham

• General Practice Dentistry in Huntington Beach, CA
• Providers in Huntington Beach, 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 Aug 12, 2014; 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.