Minh Chau Thi Pham

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37361 Issued in TX

Practice address

103 E 28TH Ave
Pampa, TX 79065-3016

Phone

(806) 669-1833

NPI assigned

Jul 5, 2021

Last updated

Jul 5, 2021By 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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

Temple University School of Medicine, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Shine Pearl Dental and Associates PLLC

  dba Fulton Dental

  • General Practice Dentistry
  • Houston, TX
  • NPI 1891422309
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625443200000",
    "number": "1427629021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E 28TH AVE",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790653016",
            "telephone_number": "806-669-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E 28TH AVE",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790653016",
            "telephone_number": "806-669-1833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5912 B St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191202007",
            "country_code": "US",
            "telephone_number": "215-694-5633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "MINH CHAU",
        "middle_name": "THI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-05",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pampa Isd
• Pampa Medical Development Associates Inc (Family Care Clinic of Pampa)
• Pathom Thavaradhara MD PA
• Teri A Pay, N.P.
• Jim Tom Pepper, RPH
• Phytex Rehabilitation, LLC (Physical Therapy Extra - Pampa)
• Kristina Porter
• Suzanne Presson, WHCNP
• Prime Healthcare Services Pampa LLC (Women's Health Clinic)
• Prime Healthcare Services Pampa LLC

• General Practice Dentistry in Pampa, TX
• Providers in Pampa, 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 Jul 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.