Hoaichi Phan, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00010102 Issued in WA

Practice address

18123 E Valley Hwy
Suite B-104
Kent, WA 98032-1007

Phone

(425) 656-2919

Fax

(425) 656-7878

NPI assigned

Aug 14, 2006

Sex

Female

Sole proprietor

Yes

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 and National Provider Directory roles.

• Image Family Dental, LLC

  • General Practice Dentistry
  • Kent, WA
  • NPI 1649582529
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306859293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18123 E VALLEY HWY",
            "address_2": "SUITE B-104",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980321007",
            "telephone_number": "425-656-2919",
            "fax_number": "425-656-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18123 E VALLEY HWY",
            "address_2": "SUITE B-104",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980321007",
            "telephone_number": "425-656-2919",
            "fax_number": "425-656-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "HOAICHI",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danh Pham, DMD
• Hien Pham, MD
• Maianh Christina Pham, DMD
• Oanh H Pham, RPH
• Thuy Pham, DO
• Carla Phaneuf Viltz, BA, CDP
• Pharmacy Corporation of America
• Erica Phelps, OT
• Max Dwight Phelps, PH00009411
• Sydney Phelps

• General Practice Dentistry in Kent, WA
• Providers in Kent, WA by specialty
• General Practice Dentistry in Washington

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.