Active NPI
Huong T. Pham, D.M.D.
- General Practice Dentistry
- Greenville, SC
National Provider Identifier
1174652564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4200
- Practice address
- 365 Halton Rd
Greenville, SC 29607-3405 - Phone
- (864) 546-5393
- Fax
- (864) 990-4046
- NPI assigned
- Mar 3, 2007
- Last updated
- Feb 16, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 4200 | SC | Primary |
Addresses
Primary practice location
365 Halton Rd
Greenville, SC 29607-3405
Mailing address
365 Halton Rd
Greenville, SC 29607-3405
Phone (864) 546-5393
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 |
|---|---|---|---|
| 4200 | SC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HP Family Dentistry, P.a. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Greenville, SC
- NPI 1881019412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613433600000",
"number": "1174652564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 HALTON RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296073405",
"telephone_number": "864-546-5393",
"fax_number": "864-990-4046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 HALTON RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296073405",
"telephone_number": "864-546-5393",
"fax_number": "864-990-4046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "HUONG",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-03",
"last_updated": "2021-02-16",
"certification_date": "2021-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "4200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.