Pham DDS Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PHAM DDS DENTAL CORP

Practice address

8555 Station Village LN Ste a
San Diego, CA 92108-6567

Phone

(619) 574-0205

Fax

(619) 574-0537

NPI assigned

Aug 15, 2024

Organization subpart

No

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

Authorized official

Name

Richard K Pham, DDSNPI 1811160880

Title

Owner Dentist

Phone

(408) 813-4107

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Richard Khoa Pham, DDS

  • General Practice Dentistry
  • El Paso, TX
  • NPI 1811160880
  NPD Authorized official
• Melanie Villalobos, DMD

  • General Practice Dentistry
  • Coronado, CA
  • NPI 1184004871
  NPD (past)

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1396577656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8555 STATION VILLAGE LN STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921086567",
            "telephone_number": "619-574-0205",
            "fax_number": "619-574-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8555 STATION VILLAGE LN STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921086567",
            "telephone_number": "619-574-0205",
            "fax_number": "619-574-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAM DDS DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "408-813-4107",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylen Anh Phakeokoth
• Silikoun Phoxa Phakhounleuang
• Natalie Phakornkham
• Pham & Nguyen Chiropractic Corp.
• Pham and Mauseth DDS Inc
• Oanh Pham Hutson
• Andy Nghia Pham, DPT
• Angela Pham, MD
• Anh Thu Nu Pham, RPH
• Anh-Tu Pham

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.