Trang Pham, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DDS111388 Issued in CA

Practice address

9630 Bruceville Rd Ste 102
Elk Grove, CA 95757-5512

Phone

(916) 714-2543

NPI assigned

Apr 3, 2023

Last updated

Jul 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Lin and Johal Dental Corporation

  dba My Kid's Dentist & Orthodontics

  • Dentist
  • Elk Grove, CA
  • NPI 1255091146
  NPD
• Ruchi Arora Dental Corporation

  dba My Kid's Dentist and Orthodontics

  • Dentist
  • Folsom, CA
  • NPI 1144974015
  NPD (past)

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1144925678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9630 BRUCEVILLE RD STE 102",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957575512",
            "telephone_number": "916-714-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9630 BRUCEVILLE RD STE 102",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957575512",
            "telephone_number": "916-714-2543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2405 Iron Point Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "956308731",
            "country_code": "US",
            "telephone_number": "916-983-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "TRANG",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "DDS111388",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Thao Thanh Pham, DO
• Kyle Pham, PT, DPT
• Mia Thao Pham
• Nha Pham
• Phuong Pham
• Trung Tan Pham
• Vy Nguyen Thuy Pham
• Thomas Tuan Phan, DDS
• Trang Thuy Phan
• Victor Phan, PHARMD

• Pediatric Dentistry in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.