NPIMap

Organization Active NPI

Kathleen H Pham, DMD, PA

  • Dentist
  • Lewisville, TX
National Provider Identifier
1366523771
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21912 Issued in TX
Legal business name
KATHLEEN H PHAM, DMD, PA
Practice address
951 W Main St
Suite a
Lewisville, TX 75067-3515
Phone
(972) 434-4300
Fax
(972) 360-3294
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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

Authorized official

Name
Dr. Kathleen H Pham, D.M.D.NPI 1093896409
Title
Chief Executive Officer
Phone
(972) 434-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 21912 TX Primary

Addresses

Primary practice location

951 W Main St
Suite a
Lewisville, TX 75067-3515

Mailing address

951 W Main St
Suite a
Lewisville, TX 75067-3515
Phone (972) 434-4300

Other names 1

  • Excel Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

951 W Main St
Ste A
Lewisville, TX 75067
Phone (972) 434-4300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374192000000",
    "number": "1366523771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 W MAIN ST",
            "address_2": "SUITE A",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673515",
            "telephone_number": "972-434-4300",
            "fax_number": "972-360-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 W MAIN ST",
            "address_2": "SUITE A",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673515",
            "telephone_number": "972-434-4300",
            "fax_number": "972-360-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN H PHAM, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2013-07-19",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "972-434-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "21912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excel Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; 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.