Anh T Pham, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401410353 Issued in VA

Practice address

13035 Lee Jackson Memorial Hwy Ste D
Fairfax, VA 22033-2039

Phone

(703) 378-2466

Fax

(703) 378-2467

NPI assigned

Aug 4, 2005

Sex

Female

Sole proprietor

No

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.

• Anh T. Pham, DDS, PC

  dba Chantilly Green Dental Care

  • Dentist
  • Fairfax, VA
  • NPI 1457542144
  NPD (past) Authorized official

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1346241957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13035 LEE JACKSON MEMORIAL HWY STE D",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332039",
            "telephone_number": "703-378-2466",
            "fax_number": "703-378-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13035 LEE JACKSON MEMORIAL HWY STE D",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332039",
            "telephone_number": "703-378-2466",
            "fax_number": "703-378-2467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7544 Gardner Park Dr",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "VA",
            "postal_code": "201553414",
            "country_code": "US",
            "telephone_number": "703-743-2287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "ANH",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-04",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa B Peyton, M.D.
• Shari Jill Pfeffer, LCSW
• Beverly J Pfister, MD
• Joann Pfundstein, M.D.
• Andrew Quang Pham, DDS
• Anhkhoa Pham, PHARMD
• Hanh Hong Pham, PHARMD
• Harmony Pham
• Duy-Man Le Phan, D.D.S
• Michelle Quynh Dao Phan, M.D.

• General Practice Dentistry in Fairfax, VA
• Providers in Fairfax, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.