Andrew Quang Pham, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401415281 Issued in VA

Practice address

3930 Walnut St Ste 210
Fairfax, VA 22030-4738

Phone

(703) 935-8699

NPI assigned

Aug 11, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

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.

• Rayford Modern Dentistry, PC

  dba Rayford Modern Dentistry

  • Dentist
  • Spring, TX
  • NPI 1366815763
  NPD (past)

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1366996092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10779 CREST ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305171",
            "telephone_number": "571-224-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 WALNUT ST STE 210",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304738",
            "telephone_number": "703-935-8699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24565 Dulles Landing Dr Unit 190",
            "address_purpose": "LOCATION",
            "city": "Dulles",
            "state": "VA",
            "postal_code": "201662714",
            "country_code": "US",
            "telephone_number": "703-457-8736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "ANDREW",
        "middle_name": "QUANG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-11",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31912",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401415281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Ann Peyton, RPH
• Vanessa B Peyton, M.D.
• Shari Jill Pfeffer, LCSW
• Beverly J Pfister, MD
• Joann Pfundstein, M.D.
• Anh T Pham, D.D.S.
• Anhkhoa Pham, PHARMD
• Hanh Hong Pham, PHARMD
• Harmony Pham
• Duy-Man Le Phan, D.D.S

• 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 Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.