Quyen Manh Pham, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

5042 Issued in NV

Practice address

3375 E Tropicana Ave
Ste F-8
Las Vegas, NV 89121-7388

Phone

(702) 964-3626

Fax

(702) 425-9491

NPI assigned

Oct 25, 2006

Last updated

Apr 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pham Paradise Smiles Dentistry, PC

  dba Paradise Smiles Dentistry

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1801252325
  NPD (past) Authorized official

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1225113897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 E TROPICANA AVE",
            "address_2": "SUITE F-8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217388",
            "telephone_number": "702-964-3626",
            "fax_number": "702-425-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 E TROPICANA AVE",
            "address_2": "STE F-8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217388",
            "telephone_number": "702-964-3626",
            "fax_number": "702-425-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "QUYEN",
        "middle_name": "MANH",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "46925",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "5042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matt Hai Pham, MD
• Michael T Pham, DMD
• Minh Chau Pham
• Phuong T Pham
• Quang Pham
• Quynh X Pham, PHARMD
• Robert Pham, DDS
• Robert Pham, PH.D MD
• Steven Pham, MS, RDN
• Tai D Pham, PA C

• Dentist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.