Nhung Pham, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

21503 Issued in MA

Practice address

4001 E Broadway Blvd
Tucson, AZ 85711-3454

Phone

(520) 850-9512

Fax

(520) 622-6322

NPI assigned

Aug 23, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1184731598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 E ELM ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857056713",
            "telephone_number": "520-850-9512",
            "fax_number": "520-622-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113454",
            "telephone_number": "520-850-9512",
            "fax_number": "520-622-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "NHUNG",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "21503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0205214",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Warren Pfotenhauer, PT
• Christine Ngoc Pham, M.D.
• Crystal Pham
• Diana Pham
• Michelle Le Pham, DPM
• Rachel Pham
• Thao Pham
• Thiem Pham, RPH
• Tiffany Pham, MD
• Tina Pham

• Dentist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.