Individual provider Active NPI

Nghi Trinh-Pham, D.D.S.

  • Dentist
  • Roseau, MN
National Provider Identifier
1316047798
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D13633 Issued in MN
Practice address
308 Center St W
Roseau, MN 56751-1419
Phone
(218) 463-1070
NPI assigned
Sep 25, 2006
Last updated
Jul 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D13633 MN Primary
General Practice Dentistry 1223G0001X 18162 TX

Addresses

Primary practice location

308 Center St W
Roseau, MN 56751-1419

Mailing address

308 Center St W
Roseau, MN 56751-1419
Phone (218) 463-1070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220914001734 MN Practitioner - Dentist 1759766512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18162TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Karsil Dental Professionals, PA Dentist Past Accepting new patients
Nhan Pham DMD Inc. Dentist Past Accepting new patients
Mind Body Health & Wellness PA PastSince Jul 10, 2022 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1316047798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 CENTER ST W",
            "city": "ROSEAU",
            "state": "MN",
            "postal_code": "567511419",
            "telephone_number": "218-463-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 CENTER ST W",
            "city": "ROSEAU",
            "state": "MN",
            "postal_code": "567511419",
            "telephone_number": "218-463-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRINH-PHAM",
        "first_name": "NGHI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13633",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18162",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseau, MN

Sources for this page

Verify at the official NPI Registry.