Christian Alexander Pham, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

32794 Issued in TX

Practice address

6827 Camp Bullis Rd Ste 302
San Antonio, TX 78256-1730

Phone

(210) 538-7500

Fax

(210) 569-7750

NPI assigned

Aug 13, 2006

Last updated

Dec 24, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crownridge Dental

  • Oral and Maxillofacial Surgery Clinic/Center
  • San Antonio, TX
  • NPI 1962028142
  NPD Authorized official

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608768000000",
    "number": "1427060920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6827 CAMP BULLIS RD STE 302",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782561730",
            "telephone_number": "210-538-7500",
            "fax_number": "210-569-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6827 CAMP BULLIS RD STE 302",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782561730",
            "telephone_number": "210-538-7500",
            "fax_number": "210-569-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "CHRISTIAN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "5342",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55297",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21258",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Arthur Phalen, MD
• Andrew Duy Nhat Pham
• Anh Tien Pham, DC
• Anna Hoai Pham
• Caroline An Pham, PHARMD
• Dan Thanh Pham, D..D.S
• Francis Duy-an Pham
• Hai Van Pham, MD
• Jennifer Pham
• John Tuan Pham, DO

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2020; 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.