Peter C. Pham, DDS, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS036673 Issued in PA

Legal business name

PETER C. PHAM, DDS, P.C.

Practice address

1409 13TH St
Altoona, PA 16601-3409

Phone

(814) 944-6611

NPI assigned

Feb 1, 2011

Organization subpart

No

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

Authorized official

Name

Camela Brooke Pham

Title

Office Manager

Phone

(814) 366-2008

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rudy Emilio Marcelli, D.D.S.

  • General Practice Dentistry
  • Altoona, PA
  • NPI 1831213008
  NPD (past)
• Peter Cong Pham, DDS

  • Dentist
  • Altoona, PA
  • NPI 1356447304
  NPD (past)

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1295031680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 13TH ST",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166013409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 13TH ST",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166013409",
            "telephone_number": "814-944-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER C. PHAM, DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-01",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "CAMELA",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "814-366-2008"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pennsylvania CVS Pharmacy LLC (CVS Pharmacy # 04013)
• Pennsylvania Department of Public Welfare (Altoona Center)
• Harry Penny
• Perfect Smile Dental of Altoona PC
• Perfect Smile Dental PC
• Madison Lou Peterman, MS, CCC-SLP
• Ronald Peterman II, PHARMD.
• Bradley Peters, LPC
• Renee L Peters
• Sara Petrilla, LMT

• General Practice Dentistry in Altoona, PA
• Providers in Altoona, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.