Shannon Pham & Associates, DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25646 Issued in TX

Legal business name

SHANNON PHAM & ASSOCIATES, DDS, PLLC

Practice address

20503 FM 529 Rd
Suite 500
Cypress, TX 77433-3297

Phone

(281) 789-8644

NPI assigned

Apr 9, 2016

Organization subpart

No

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

Authorized official

Name

Shannon Quynh Pham, DDSNPI 1790098812

Title

Manager

Phone

(281) 789-8644

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Emmy Dental Doing business as

Locations

Practitioners 1

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

• Shannon Quynh Pham, D.D.S

  • General Practice Dentistry
  • Cypress, TX
  • NPI 1790098812
  NPD (past) Authorized official

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

{
    "created_epoch": "1460160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460160000000",
    "number": "1306200910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11611 CARSON FIELD LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774332845",
            "telephone_number": "832-273-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20503 FM 529 RD",
            "address_2": "SUITE 500",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774333297",
            "telephone_number": "281-789-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON PHAM & ASSOCIATES, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-09",
        "last_updated": "2016-04-09",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "QUYNH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-789-8644",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2130130",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emmy Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheevam Shah, M.D.
• Sahar Shahzad
• Shalin Shakya, M.D
• Sana Kausar Shamji-Mukhi, D.O
• Ali Shams-Hakimi, DPM
• Shape Abilities LLC
• Maninder Sharma
• Rishika Sharma, MD
• Lisa Lynn Shelton, SLP
• Sherry Morad Shenoda, NP

• General Practice Dentistry in Cypress, TX
• Providers in Cypress, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2016; 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.