Active NPI
Amy H. Pham, D.D.S.
- General Practice Dentistry
- Orland, CA
National Provider Identifier
1174509848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 52451
- Practice address
- 1211 Cortina Dr
Orland, CA 95963-1699 - Phone
- (530) 865-5561
- Fax
- (530) 865-9209
- NPI assigned
- Dec 15, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 52451 | CA | Primary |
Addresses
Primary practice location
1211 Cortina Dr
Orland, CA 95963-1699
Mailing address
1211 Cortina Dr
Orland, CA 95963-1699
Phone (530) 865-5561
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52451 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1174509848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 CORTINA DR",
"city": "ORLAND",
"state": "CA",
"postal_code": "959631699",
"telephone_number": "530-865-5561",
"fax_number": "530-865-9209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 CORTINA DR",
"city": "ORLAND",
"state": "CA",
"postal_code": "959631699",
"telephone_number": "530-865-5561",
"fax_number": "530-865-9209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "AMY",
"middle_name": "H.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-15",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "52451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orland, CA
Sources for this page
- 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.