Christopher Pham Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHRISTOPHER PHAM DENTAL CORPORATION

Practice address

1415 Ridgeback Rd Ste 23
Chula Vista, CA 91910-6990

Phone

(619) 421-2155

NPI assigned

Feb 1, 2022

Organization subpart

No

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

Authorized official

Name

McKenna Sherman

Title

Director of Operations

Phone

(714) 724-0845

Specialties & licenses 1

Addresses

Practitioners 1

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

• Christopher Pham, D.D.S.

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1205977899
  NPD

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1467105205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 RIDGEBACK RD STE 23",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106990",
            "telephone_number": "619-421-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 RIDGEBACK RD STE 23",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106990",
            "telephone_number": "619-421-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER PHAM DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "MCKENNA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "714-724-0845"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Chou, D.D.S.
• Justin S Cristobal Choudhari, MD
• Ines Choy-Davis, M.A.
• Chris D Patton DDS Inc (california smiles)
• Janell Lynn Christiansen
• Scott Christopher Chromy
• Amanda Chu, DPT
• Isabel Chu, PHARMD
• Stanton Rickland Chu, PHARMD
• Jennifer Jacinto Chua, OTR

• General Practice Dentistry in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.