Trieu Tan Pham, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35212 Issued in TX

Practice address

6655 Greatwood Pkwy
Sugar Land, TX 77479-6314

Phone

(281) 341-5116

NPI assigned

Jul 30, 2019

Last updated

Feb 10, 2023By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• J. Michael Su D.D.S., P.a.

  • Dentist
  • Sugar Land, TX
  • NPI 1801002282
  NPD (past)

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1477107266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MCCUE RD APT 254",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770565121",
            "telephone_number": "832-817-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 GREATWOOD PKWY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796314",
            "telephone_number": "281-341-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "TRIEU",
        "middle_name": "TAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-30",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Pham, MD
• Henry Thanh Pham, M.D.
• Mimi Le Pham, PHARMD
• Tan Pham, D.D.S
• Tien Pham, M.D.
• Von T. Pham, O.D.
• Charles Gia Phan, M.D.
• Jeremy Phan, OD
• Sandra Kim Phan, PHARM.D
• Vincent C Phan

• General Practice Dentistry in Sugar Land, TX
• Providers in Sugar Land, 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 Feb 10, 2023; 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.