TQP Dentistry PA

Primary specialty

DentistTaxonomy code 122300000X

License

23502 Issued in TX

Legal business name

TQP DENTISTRY PA

Practice address

1909 N Main St Ste 107
Pearland, TX 77581-3369

Phone

(646) 305-7069

NPI assigned

Oct 22, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Thien Quoc Pham, DDSNPI 1649465659

Title

President

Phone

(646) 305-7069

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

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

• Thien Quoc Pham, DDS

  • Dentist
  • Pearland, TX
  • NPI 1649465659
  NPD Authorized official

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1124423967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10223 BROADWAY ST STE P-248",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847880",
            "telephone_number": "646-305-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 N MAIN ST STE 107",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775813369",
            "telephone_number": "646-305-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TQP DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "THIEN",
        "authorized_official_middle_name": "QUOC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-305-7069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "23502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI NUMBER",
            "identifier": "1649465659",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE NUMBER",
            "identifier": "23502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189843901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF PUBLIC SAFETY CONTROLLED SUBSTANCE NUMBER",
            "identifier": "G0154523",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Total Renal Care Texas Limited Partnership
• Mawa Toure
• Tiffany Denise Tousant, LPC
• Candace Puhl Towne, PT, DPT
• Tamyra Marie Townsend
• Guillermina Elfrides Traipe, M.D.
• Christine Tran, PA-C
• Dang Tri Tran, MD
• Di Tran
• Duy Tran

• Dentist in Pearland, TX
• Providers in Pearland, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.