Ann Pham, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4078 Issued in NV

Practice address

4210 W Craig Rd
Suite 104
North Las Vegas, NV 89032-2734

Phone

(702) 436-5222

Fax

(702) 873-5222

NPI assigned

Sep 21, 2006

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154420818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 W CRAIG RD",
            "address_2": "SUITE 104",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890322734",
            "telephone_number": "702-436-5222",
            "fax_number": "702-873-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 W CRAIG RD",
            "address_2": "SUITE 104",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890322734",
            "telephone_number": "702-436-5222",
            "fax_number": "702-873-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "ANN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercy Peterson
• Carmen Graciela Petrin
• Precious A Pettaway
• Sherry Pettaway
• Pfau Atlas Psychiatry PLLC
• Selena N Pham, PHARMD
• Tuong Le Cat Pham
• Vanthy Bach Pham, PHARMD
• Yves Pham, DMD
• Phan Vo Nguyen PC

• General Practice Dentistry in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• 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.

Verify at the official NPI Registry.