Active NPI
Kevin Minh-Huy Pham, DMD
- General Practice Dentistry
- Wichita, KS
National Provider Identifier
1306456702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 61998
- Practice address
- 2707 E 21St St N
Wichita, KS 67214-2249 - Phone
- (316) 691-0249
- Fax
- (877) 803-1562
- NPI assigned
- Jul 31, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 61998 | KS | Primary |
| General Practice Dentistry | 1223G0001X | 36470 | TX |
Addresses
Primary practice location
2707 E 21St St N
Wichita, KS 67214-2249
Mailing address
2707 E 21St St N
Wichita, KS 67214-2249
Phone (316) 691-0249
Other practice location 1
2700 E 30th Ave
Hutchinson, KS 67502-1242
Phone (620) 663-8484
Other practice location 2
344 NW Loop 564 Ste 400
Mineola, TX 75773-1128
Phone (903) 638-8287
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61998 | KS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairiestar Health Center, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Hutchinson, KS
- NPI 1871564534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1306456702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2707 E 21ST ST N",
"city": "WICHITA",
"state": "KS",
"postal_code": "672142249",
"telephone_number": "316-691-0249",
"fax_number": "877-803-1562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2707 E 21ST ST N",
"city": "WICHITA",
"state": "KS",
"postal_code": "672142249",
"telephone_number": "316-691-0249",
"fax_number": "877-803-1562"
}
],
"practiceLocations": [
{
"address_1": "2700 E 30th Ave",
"address_purpose": "LOCATION",
"city": "Hutchinson",
"state": "KS",
"postal_code": "675021242",
"country_code": "US",
"telephone_number": "620-663-8484",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "344 NW Loop 564 Ste 400",
"address_purpose": "LOCATION",
"city": "Mineola",
"state": "TX",
"postal_code": "757731128",
"country_code": "US",
"telephone_number": "903-638-8287",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHAM",
"first_name": "KEVIN",
"middle_name": "MINH-HUY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-31",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KS",
"license": "61998",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "36470",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.