Phung Kim Pham, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00010493 Issued in WA

Practice address

4700 42ND Ave SW
Suite 460
Seattle, WA 98116-4591

Phone

(206) 767-4851

Fax

(206) 764-0928

NPI assigned

Jan 27, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265588586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 LAKE WASHINGTON BLVD N",
            "address_2": "E404",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980562564",
            "telephone_number": "425-255-1040",
            "fax_number": "425-255-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 42ND AVE SW",
            "address_2": "SUITE 460",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164591",
            "telephone_number": "206-767-4851",
            "fax_number": "206-764-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "PHUNG",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010493",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50508",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ngan Pham, RN
• Ngoc H Pham, MD
• Ngoc-Trung Pham, D.D.S.
• Nguyethang Vu Pham, MD
• Patrick Pham
• Phuong Pham, PHARM.D
• Rosalyn Pham, MD
• Susan Thao Pham
• Sydney Pham, CRNA, DNAP-NA
• Tam Pham

• General Practice Dentistry in Seattle, WA
• Providers in Seattle, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.