Organization Active NPI

Oceanside Dental Art LP

  • Dentist
  • Brownsville, TX
National Provider Identifier
1427369750
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17862 Issued in TX
Legal business name
OCEANSIDE DENTAL ART LP
Practice address
1301 E Los Ebanos Blvd # D
Brownsville, TX 78520-8634
Phone
(281) 208-2016
NPI assigned
Jul 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Authorized official

Name
Dr. Diep Thi Pham, DDSNPI 1275609802
Title
Owner
Phone
(281) 208-2016

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 17862 TX Primary

Addresses

Primary practice location

1301 E Los Ebanos Blvd # D
Brownsville, TX 78520-8634

Mailing address

PO Box 2086
Alief, TX 77411-2086
Phone (281) 208-2016

Other names 1

  • Oceanside Dental Art Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gulf Coast Dental - Bay City2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1301 E Los Ebanos Blvd
#D
Brownsville, TX 78520
Phone (281) 208-2016

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1427369750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2086",
            "city": "ALIEF",
            "state": "TX",
            "postal_code": "774112086",
            "telephone_number": "281-208-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E LOS EBANOS BLVD # D",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208634",
            "telephone_number": "281-208-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANSIDE DENTAL ART LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-01",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "DIEP",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-208-2016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "17862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oceanside Dental Art",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.