NPIMap

Organization Active NPI

Kim T Pham DMD & Michael J Scamurra DMD Family and Cosmetic Dentistry

  • Dentist
  • Huntington Beach, CA
National Provider Identifier
1386810414
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
55501 Issued in CA
Legal business name
KIM T PHAM DMD & MICHAEL J SCAMURRA DMD FAMILY AND COSMETIC DENTISTRY
Practice address
18700 Main St
Suite 207
Huntington Beach, CA 92648-1706
Phone
(714) 841-0100
Fax
(714) 841-0107
NPI assigned
May 8, 2008
Last updated
Oct 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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

Authorized official

Name
Dr. Michael John Scamurra, DMDNPI 1619184165
Title
Dentist
Phone
(310) 749-0720

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
Dentist 122300000X 55501 CA Primary

Addresses

Primary practice location

18700 Main St
Suite 207
Huntington Beach, CA 92648-1706

Mailing address

18700 Main St
Suite 207
Huntington Beach, CA 92648-1706
Phone (714) 841-0100

National Provider Directory

National Provider Directory

Locations

18700 Main St
Ste 207
Huntington Beach, CA 92648
Phone (714) 841-0100

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1386810414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18700 MAIN ST",
            "address_2": "SUITE 207",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481706",
            "telephone_number": "714-841-0100",
            "fax_number": "714-841-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18700 MAIN ST",
            "address_2": "SUITE 207",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481706",
            "telephone_number": "714-841-0100",
            "fax_number": "714-841-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM T PHAM DMD & MICHAEL J SCAMURRA DMD FAMILY AND COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "SCAMURRA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "310-749-0720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "55501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.