Phan Dental Group,PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

22313 Issued in TX

Legal business name

PHAN DENTAL GROUP,PLLC

Practice address

5530 W Grand Pkwy S Ste 100
Richmond, TX 77406-5807

Phone

(281) 232-1421

Fax

(281) 232-1425

NPI assigned

Oct 24, 2014

Organization subpart

No

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

Authorized official

Name

Brian Phan

Title

DDS

Phone

(281) 232-1421

Specialties & licenses 1

Addresses

Other names 1

• Magic Dental Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Vu Phan, DDS

  • General Practice Dentistry
  • Richmond, TX
  • NPI 1922238385
  NPD (past)

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1194120881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 W. GRAND PARKWAY S, SUITE 100",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "77406",
            "telephone_number": "281-232-1421",
            "fax_number": "281-232-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 W GRAND PKWY S STE 100",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774065807",
            "telephone_number": "281-232-1421",
            "fax_number": "281-232-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAN DENTAL GROUP,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "281-232-1421"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "22313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magic Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Huong (Mary) Pham, CLC
• Jessica T Pham, DDS
• Kateline Pham, FNP-C
• Kaylie Pham
• Phong Pham, O.D.
• Andy Phan
• Hoang M Phan, M.D.
• Kevin Vu Phan, DDS
• Mary Ann Giang Phan
• Kristine Ann Phansana, PHARMD

• Dentist in Richmond, TX
• Providers in Richmond, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.