Active NPI
Annie Pham-Cheng, DMD, Inc
- Pediatric Dentistry
- Goleta, CA
National Provider Identifier
1497967541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 53348
- Legal business name
- ANNIE PHAM-CHENG, DMD, INC
- Practice address
- 6134 Calle Real, Ste B
Goleta, CA 93117 - Phone
- (805) 681-7301
- Fax
- (805) 681-7302
- NPI assigned
- May 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Annie Pham-Cheng, D.M.D.
- Title
- Ceo
- Phone
- (805) 681-7301
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 53348 | CA | Primary |
Addresses
Primary practice location
6134 Calle Real, Ste B
Goleta, CA 93117
Mailing address
6134 Calle Real, Ste B
Goleta, CA 93117
Phone (805) 681-7301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891851408 | Other | CA | TYPE 1 NPI NUMBER FOR DR. |
Other names 1
- santa barbara children's dental practice
National Provider Directory
National Provider DirectoryLocations
6134 Calle Real
Ste B
Goleta, CA 93117
Phone (805) 681-7301
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Goleta, CA
- NPI 1891851408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1497967541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6134 CALLE REAL, STE B",
"city": "GOLETA",
"state": "CA",
"postal_code": "93117",
"telephone_number": "805-681-7301",
"fax_number": "805-681-7302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6134 CALLE REAL, STE B",
"city": "GOLETA",
"state": "CA",
"postal_code": "93117",
"telephone_number": "805-681-7301",
"fax_number": "805-681-7302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANNIE PHAM-CHENG, DMD, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PHAM-CHENG",
"authorized_official_first_name": "ANNIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "805-681-7301",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "53348",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE 1 NPI NUMBER FOR DR.",
"identifier": "1891851408",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "santa barbara children's dental practice",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Goleta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.