Organization Active NPI

Christina Pham DDS, LLC

Doing business as Magnolia Dental

  • Dental Clinic/Center
  • Parker, CO
National Provider Identifier
1205470549
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CHRISTINA PHAM DDS, LLC
Doing business as
Magnolia Dental
Practice address
9328 Jordan Rd Unit 109
Parker, CO 80134-9313
Phone
(720) 207-4201
NPI assigned
Oct 30, 2019
Last updated
Oct 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Authorized official

Name
Dr. Christina Pham, DDSNPI 1669994448
Title
Owner
Phone
(720) 207-4201

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

9328 Jordan Rd Unit 109
Parker, CO 80134-9313

Mailing address

15791 E Progress Dr
Centennial, CO 80015-4257
Phone (720) 207-4201

Other names 1

  • Magnolia Dental Doing business as

National Provider Directory

National Provider Directory

Locations

9328 Jordan Rd
Ste 109
Parker, CO 80134
Phone (720) 207-4201

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1205470549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15791 E PROGRESS DR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800154257",
            "telephone_number": "720-207-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9328 JORDAN RD UNIT 109",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349313",
            "telephone_number": "720-207-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINA PHAM DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-207-4201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.