Ann Pham D.D.S., P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

4078 Issued in NV

Legal business name

ANN PHAM D.D.S., P.C.

Doing business as

Miracle Dental

Practice address

4210 W Craig Rd
Suite #104
North Las Vegas, NV 89032-2734

Phone

(702) 436-5222

Fax

(702) 873-5222

NPI assigned

Aug 21, 2007

Last updated

Aug 21, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ann T. a. Pham, D.D.S.NPI 1154420818

Title

President

Phone

(702) 456-0056

Specialties & licenses 1

Addresses

Other names 1

• Miracle Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ann Pham, D.D.S.

  • General Practice Dentistry
  • North Las Vegas, NV
  • NPI 1154420818
  Authorized official Same address or phone

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1508059882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 N DURANGO DR",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89143",
            "telephone_number": "702-456-0056",
            "fax_number": "702-456-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 W CRAIG RD",
            "address_2": "SUITE #104",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890322734",
            "telephone_number": "702-436-5222",
            "fax_number": "702-873-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN PHAM D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "T. A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-456-0056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NV",
            "license": "4078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miracle Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jett Justin Angeles
• Alleluia Tejero Raton Angon
• Stefanie Marie Angrisano, PHARMD
• Alondra Anguiano
• Arsenio S Angus, M.D.
• Audrey Annichiarico
• Lynn Ansher, PH.D.
• Marina Antar-Shultz, D.O.
• Anthem ASC Inc
• Antioch Community Services Inc.

• Dentist in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.