Individual provider Active NPI

Natalie-Uyen Vo-Pham, D.M.D

  • General Practice Dentistry
  • Dumas, TX
National Provider Identifier
1225412554
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31151 Issued in TX
Practice address
2100 S Dumas Ave
Ste 112
Dumas, TX 79029-6102
Phone
(806) 934-3170
NPI assigned
Jul 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 31151 TX Primary

Addresses

Primary practice location

2100 S Dumas Ave
Ste 112
Dumas, TX 79029-6102

Mailing address

5509 SW 9TH Ave
Apt # 615
Amarillo, TX 79106-4172
Phone (858) 349-0845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20181205001197 TX Order and Referring Only - DentistPractitioner - Dentist 6103160981

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31151TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1225412554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5509 SW 9TH AVE",
            "address_2": "APT # 615",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064172",
            "telephone_number": "858-349-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 S DUMAS AVE",
            "address_2": "STE 112",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "790296102",
            "telephone_number": "806-934-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VO-PHAM",
        "first_name": "NATALIE-UYEN",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dumas, TX

Sources for this page

Verify at the official NPI Registry.