Diane Huy Pham, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401008933 Issued in VA

Practice address

516 Oronoco St
Alexandria, VA 22314-2306

Phone

(703) 549-1960

Fax

(703) 549-4919

NPI assigned

Apr 16, 2008

Last updated

Apr 16, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stella Kim DDS PLLC

  dba Oronoco Dental

  • Dental Clinic/Center
  • Alexandria, VA
  • NPI 1033631619
  NPD (past)

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1427222991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 ORONOCO ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142306",
            "telephone_number": "703-549-1960",
            "fax_number": "703-549-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 ORONOCO ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142306",
            "telephone_number": "703-549-1960",
            "fax_number": "703-549-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "DIANE",
        "middle_name": "HUY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401008933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Petty, LPC, LSATP
• Jessica Petz, DPT
• Vaniqua Peyton
• Michael H Pfeiffer, M.D.
• Annabelle Hong-an Pham, MSPAS
• Jenna Pham
• Sean Pham, M.D.
• Tina Tonga Pham, MD
• Anh-Minh Phan, D.D.S.
• Bachlan Phan, RPH

• General Practice Dentistry in Alexandria, VA
• Providers in Alexandria, 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 Apr 16, 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.