Active NPI
Krystal Pham DDS, Inc.
- Dental Clinic/Center
- Huntington Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 57473
- Legal business name
- KRYSTAL PHAM DDS, INC.
- Doing business as
- Oceanic Dental
- Practice address
- 16052 Beach Blvd Ste 112
Huntington Beach, CA 92647-3842 - Phone
- (714) 841-0203
- Fax
- (714) 842-0618
- NPI assigned
- May 24, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Krystal H Pham, D.D.S.
- Title
- President
- Phone
- (714) 841-0203
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 57473 | CA | Primary |
Addresses
Primary practice location
16052 Beach Blvd Ste 112
Huntington Beach, CA 92647-3842
Mailing address
16052 Beach Blvd Ste 112
Huntington Beach, CA 92647-3842
Phone (714) 841-0203
Other names 1
- Oceanic Dental
National Provider Directory
National Provider Directory- Tax ID family
- Krystal Pham DDS Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Fountain Valley, CA
- NPI 1619401957
Locations
16052 Beach Blvd
Ste 112
Huntington Beach, CA 92647
Phone (714) 841-0203
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Huntington Beach, CA
- NPI 1124277736
-
- Dentist
- Huntington Beach, CA
- NPI 1487729133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274659200000",
"number": "1245559624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16052 BEACH BLVD STE 112",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926473842",
"telephone_number": "714-841-0203",
"fax_number": "714-842-0618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16052 BEACH BLVD STE 112",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926473842",
"telephone_number": "714-841-0203",
"fax_number": "714-842-0618"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRYSTAL PHAM DDS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-24",
"last_updated": "2010-05-24",
"status": "A",
"authorized_official_last_name": "PHAM",
"authorized_official_first_name": "KRYSTAL",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-841-0203",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "CA",
"license": "57473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Oceanic Dental",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.