Thy Pham DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

THY PHAM DDS INC

Doing business as

Dental Group of Thy Pham DDS Inc
Lumi Dental Studio

Practice address

1491 Cedarwood LN Ste C
Pleasanton, CA 94566-6126

Phone

(925) 918-6500

Fax

(925) 918-4750

NPI assigned

Jan 14, 2022

Last updated

Jan 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leon Chung, DDSNPI 1679086524

Title

Treasurer

Phone

(415) 890-3004

Specialties & licenses 1

Addresses

Other names 2

• DENTAL GROUP OF THY PHAM DDS INC Doing business as
• LUMI DENTAL STUDIO 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, and the practitioner matching its NPPES authorized official.

• Leon Chung, DDS

  • Dentist
  • Pleasanton, CA
  • NPI 1679086524

  General Practice

  NPD Authorized official

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1336890920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 CEDARWOOD LN STE C",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666126",
            "telephone_number": "925-918-6500",
            "fax_number": "925-918-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 CEDARWOOD LN STE C",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666126",
            "telephone_number": "925-918-6500",
            "fax_number": "925-918-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THY PHAM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "LEON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "415-890-3004",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DENTAL GROUP OF THY PHAM DDS INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LUMI DENTAL STUDIO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.