CHI Pham, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4322 Issued in NV

Practice address

7377 S Jones Blvd Ste 110
Las Vegas, NV 89139-0547

Phone

(702) 382-2709

Fax

(702) 387-9995

NPI assigned

Jan 18, 2008

Last updated

Jan 18, 2008By 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 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sun Dental Professional Corporation

  • Dentist
  • Las Vegas, NV
  • NPI 1710695424
  NPD (past)

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1285810317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7377 S JONES BLVD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891390547",
            "telephone_number": "702-382-2709",
            "fax_number": "702-387-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7377 S JONES BLVD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891390547",
            "telephone_number": "702-382-2709",
            "fax_number": "702-387-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "CHI",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pham Paradise Smiles Dentistry, PC (Paradise Smiles Dentistry)
• Andrea An Pham, OD
• Andrew Tyler Pham
• Anna Pham
• Chau Bao Pham
• CHI Dinh Pham, MD
• Daniel Pham
• David Khuong Pham, DDS
• Diem Pham
• Donald Pham

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.