Chieu Pham Dental Corporation

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CHIEU PHAM DENTAL CORPORATION

Practice address

2015 Birch Road
Ste 103
Chula Vista, CA 91915

Phone

(619) 421-5437

Fax

(619) 924-8494

NPI assigned

Jul 11, 2021

Last updated

Jul 11, 2021By 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

Chieu Pham, DDS

Title

Owner

Phone

(619) 421-5437

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1625961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625961600000",
    "number": "1366014375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 BIRCH ROAD STE 103",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91915",
            "telephone_number": "619-421-5437",
            "fax_number": "619-924-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 BIRCH ROAD",
            "address_2": "STE 103",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91915",
            "telephone_number": "619-421-5437",
            "fax_number": "619-924-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIEU PHAM DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-11",
        "last_updated": "2021-07-11",
        "certification_date": "2021-07-11",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "CHIEU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-421-5437",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherilyn J. Kasperian, D.D.S., a Dental Corporation
• Annalisa Chery, N.P.
• Farah Chery, MD
• Kyle Chester, PT, DPT
• David T. Cheung, D.D.S.
• Ramesh Chigurupati
• Shahrezad Chiha
• Children's Hospital, Chadwick Center for Children and Families
• Childrens Medical Group of South Bay
• Ifeoma Chime, LMFT

• Pediatric Dentistry in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2021; 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.