NPIMap

Organization Active NPI

Pham & Mehdipour Inc

Doing business as Mt Vernon Dentistry

  • Dentist
  • Bakersfield, CA
National Provider Identifier
1497992929
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
47776 Issued in CA
Legal business name
PHAM & MEHDIPOUR INC
Doing business as
Mt Vernon Dentistry
Practice address
2302 Columbus St
Bakersfield, CA 93306
Phone
(661) 873-1111
Fax
(661) 760-7946
NPI assigned
Jan 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Authorized official

Name
Dr. Nguyen Dinh Pham, D.M.D.NPI 1144546235
Title
Ceo
Phone
(661) 873-1111

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 47776 CA Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 47287 CA

Addresses

Primary practice location

2302 Columbus St
Bakersfield, CA 93306

Mailing address

2302 Columbus St
Bakersfield, CA 93306
Phone (661) 873-1111

Other names 1

  • Mt Vernon Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2302 Columbus St
Bakersfield, CA 93306
Phone (661) 873-1111

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1497992929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 COLUMBUS ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93306",
            "telephone_number": "661-873-1111",
            "fax_number": "661-760-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 COLUMBUS ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93306",
            "telephone_number": "661-873-1111",
            "fax_number": "661-760-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAM & MEHDIPOUR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "NGUYEN",
        "authorized_official_middle_name": "DINH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-873-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "47776",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "47287",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt Vernon Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.