Individual provider Active NPI

Nhan Pham, DMD

  • Dentist
  • Pearland, TX
National Provider Identifier
1437591187
Registry record updated Aug 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
29239 Issued in TX
Practice address
8703 Broadway St Ste 125
Pearland, TX 77584-8098
Phone
(281) 485-6088
Fax
(281) 485-1773
NPI assigned
Jul 23, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 29239 TX Primary

Addresses

Primary practice location

8703 Broadway St Ste 125
Pearland, TX 77584-8098

Mailing address

8703 Broadway St Ste 125
Pearland, TX 77584-8098
Phone (281) 485-6088

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160829001000 TX Order and Referring Only - DentistPractitioner - Dentist 1850686916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29239TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nhan Pham DMD Inc. Dentist Past Accepting new patients
Karsil Dental Professionals, PA Dentist Past Accepting new patients

Organizations & group practices 2

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": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501545600000",
    "number": "1437591187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8703 BROADWAY ST STE 125",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848098",
            "telephone_number": "281-485-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8703 BROADWAY ST STE 125",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848098",
            "telephone_number": "281-485-6088",
            "fax_number": "281-485-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "NHAN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-23",
        "last_updated": "2017-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "29239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.