Tuan Quoc Pham, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23418 Issued in TX

Practice address

4300 Fairmont Pkwy
Suite C
Pasadena, TX 77504-3306

Phone

(281) 991-7100

NPI assigned

Aug 9, 2007

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Tuan Q. Pham, DDS P.a.

  • Dental Clinic/Center
  • Pearland, TX
  • NPI 1194056770
  NPD (past) Authorized official

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1467643833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 LAUREL LEAF LN",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775813551",
            "telephone_number": "281-412-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 FAIRMONT PKWY",
            "address_2": "SUITE C",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775043306",
            "telephone_number": "281-991-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "TUAN",
        "middle_name": "QUOC",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-09",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peyman Pakzaban, MD PA
• PH Squared LLC (Pharmhouse Pharmacy)
• Dang Thanh Pham, M.D.
• Hieu T. Pham, D.O.
• Nguyen Pham
• Tung Cao Pham
• Mary Ngoc Phan, DDS
• Mercedes Minh-Thanh Phan, DDS
• Michael Bao-Ngoc Phan, MD
• Minh H Phan, DDS

• General Practice Dentistry in Pasadena, TX
• Providers in Pasadena, 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 Dec 16, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.