Organization Active NPI

Yves Pham DMD PLLC

Doing business as Northern Edge Dentistry

  • Dental Clinic/Center
  • North Las Vegas, NV
National Provider Identifier
1255800868
Registry record updated Mar 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
YVES PHAM DMD PLLC
Doing business as
Northern Edge Dentistry
Practice address
281 W Centennial Pkwy # 100-101
North Las Vegas, NV 89084-1349
Phone
(714) 400-6339
NPI assigned
Nov 13, 2018
Last updated
Mar 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2019

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

Authorized official

Name
Mr. Garry B Trinh
Title
Office Manager
Phone
(714) 400-6339

Specialties & licenses 1

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

Addresses

Primary practice location

281 W Centennial Pkwy # 100-101
North Las Vegas, NV 89084-1349

Mailing address

1350 N Town Center Dr Unit 2073
Las Vegas, NV 89144-0586

Other names 1

  • Northern Edge Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

281 W Centennial Pkwy
#100101
North Las Vegas, NV 89084
Phone (714) 400-6339

NPI Registry JSON

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552176000000",
    "number": "1255800868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 N TOWN CENTER DR UNIT 2073",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 W CENTENNIAL PKWY # 100-101",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890841349",
            "telephone_number": "714-400-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YVES PHAM DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-13",
        "last_updated": "2019-03-10",
        "status": "A",
        "authorized_official_last_name": "TRINH",
        "authorized_official_first_name": "GARRY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-400-6339",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern Edge Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northern Edge Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.