Individual provider Active NPI

Hai X Pham, DDS

  • General Practice Dentistry
  • Watauga, TX
National Provider Identifier
1437255668
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18145 Issued in TX
Practice address
8436 Denton Hwy
Suite 218
Watauga, TX 76148-2472
Phone
(817) 605-3551
Fax
(817) 605-1344
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18145 TX Primary

Addresses

Primary practice location

8436 Denton Hwy
Suite 218
Watauga, TX 76148-2472

Mailing address

8436 Denton Hwy
Suite 218
Watauga, TX 76148-2472
Phone (817) 605-3551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18145TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
HP Dental Clinic, P.a. General Practice Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437255668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8436 DENTON HWY",
            "address_2": "SUITE 218",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761482472",
            "telephone_number": "817-605-3551",
            "fax_number": "817-605-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8436 DENTON HWY",
            "address_2": "SUITE 218",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761482472",
            "telephone_number": "817-605-3551",
            "fax_number": "817-605-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "HAI",
        "middle_name": "X",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watauga, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.