Organization Active NPI

Pham, Anwar PLLC

  • Dentist
  • Lynnwood, WA
National Provider Identifier
1154612646
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE00010340 Issued in WA
Legal business name
PHAM, ANWAR PLLC
Practice address
3625 148TH St SW Ste B-101
Lynnwood, WA 98087-5577
Phone
(206) 235-8300
NPI assigned
May 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Authorized official

Name
Dr. Tameem Anwar, DDS
Title
Member
Phone
(206) 235-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DE00010340 WA Primary

Addresses

Primary practice location

3625 148TH St SW Ste B-101
Lynnwood, WA 98087-5577

Mailing address

4021 145TH Ave NE
Bellevue, WA 98007-3108

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1154612646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 145TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 148TH ST SW STE B-101",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980875577",
            "telephone_number": "206-235-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAM, ANWAR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "ANWAR",
        "authorized_official_first_name": "TAMEEM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "206-235-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00010340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.