Diep Thi Ngoc Pham, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

17862 Issued in TX

Practice address

3939 Lexington Blvd
Missouri City, TX 77459

Phone

(281) 208-2016

Fax

(281) 261-5091

NPI assigned

Nov 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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.

• Diep Pham DDS, Inc

  • General Practice Dentistry
  • Lake Jackson, TX
  • NPI 1770840340
  NPD (past) Authorized official
• Oceanside Dental Art LP

  • Dentist
  • Brownsville, TX
  • NPI 1427369750
  NPD (past) Authorized official
• Lexington Dental Center

  • General Practice Dentistry
  • Missouri City, TX
  • NPI 1043457740
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275609802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2086",
            "city": "ALIEF",
            "state": "TX",
            "postal_code": "77411",
            "telephone_number": "281-208-2016",
            "fax_number": "281-261-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 LEXINGTON BLVD",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "77459",
            "telephone_number": "281-208-2016",
            "fax_number": "281-261-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "DIEP",
        "middle_name": "THI NGOC",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "17862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perfectdentalgroup Baycity PLLC
• Wyetha Perry
• Personal Path Therapeutic Services, LLC
• PH Behavior Solutions LLC
• Dana Pham, O.D.
• Hien D. Pham, MD
• Kaitlan Minh Pham
• Paige Pham
• Ngac Nguyen Phan, MD
• Pharmacore Consulting Group

• Dentist in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Dentist in Texas

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.