Ngoc Pham, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

102833 Issued in CA

Practice address

7861 Greenback LN
Citrus Heights, CA 95610

Phone

(817) 609-9714

NPI assigned

Jul 15, 2016

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Anthony Phan DMD and Ngoc Pham DMD, Inc

  • Dental Clinic/Center
  • Fair Oaks, CA
  • NPI 1427683952
  NPD Authorized official

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1225481138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5116 PERTH GLEN DR",
            "city": "ANTELOPE",
            "state": "CA",
            "postal_code": "958435942",
            "telephone_number": "817-609-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7861 GREENBACK LN",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "95610",
            "telephone_number": "817-609-9714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6035 Florin Rd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "95823",
            "country_code": "US",
            "telephone_number": "817-609-9714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3215 Kirnwood Dr",
            "address_2": "Suite 114",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752374432",
            "country_code": "US",
            "telephone_number": "972-709-4300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5060 Sunrise Blvd # C",
            "address_purpose": "LOCATION",
            "city": "Fair Oaks",
            "state": "CA",
            "postal_code": "95628",
            "country_code": "US",
            "telephone_number": "916-605-2566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2436 Professional Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "95661",
            "country_code": "US",
            "telephone_number": "916-836-0062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "NGOC",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-15",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31972",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "102833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Petrik
• Chris Pettee
• Daniel Pham
• Huy Tan Pham
• Manh Duc Pham, M.D.
• Phuong Nga Phan, PHARM.D
• Desirai Phillips
• Michael Phillips
• Shantell Phillips, FNP-C
• Sandy Phimpha

• Dentist in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.