Individual provider Active NPI

Diana Pham, DMD

  • General Practice Dentistry
  • Bellaire, TX
National Provider Identifier
1487057535
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30421 Issued in TX
Practice address
6300 West Loop S Ste 650
Bellaire, TX 77401-2997
Phone
(713) 457-3445
NPI assigned
Oct 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 63966 CA
General Practice Dentistry 1223G0001X 30421 TX Primary

Addresses

Primary practice location

6300 West Loop S Ste 650
Bellaire, TX 77401-2997

Mailing address

2513 Scarlett Trce
Pearland, TX 77584-4093
Phone (949) 310-0973

Other practice location 1

2920 Fannin St
Houston, TX 77002-9222
Phone (713) 827-8266

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
I20250626003876 TX Practitioner - Dentist 5294248928 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63966CAMDGeneral Practice Dentistry
30421TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Area Community Services Inc. CurrentSince May 19, 2025 Accepting new patients
Houston Area Community Services, Inc. CurrentSince May 19, 2025 Accepting new patients
Houston Area Community Services Inc. Past Accepting new patients
Houston Area Community Services Inc Past Accepting new patients
Chu Truong DDS & Associates , PLLC General Practice Past Accepting new patients

Locations

2920 Fannin St
Houston, TX 77002
Phone (713) 341-3790

2150 W 18th St
Ste 300
Houston, TX 77008

Organizations & group practices 6

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": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1487057535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 SCARLETT TRCE",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775844093",
            "telephone_number": "949-310-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 WEST LOOP S STE 650",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012997",
            "telephone_number": "713-457-3445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2920 Fannin St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770029222",
            "country_code": "US",
            "telephone_number": "713-827-8266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "DIANA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-03",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63966",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.