Oakland Park Modern Dentistry PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

OAKLAND PARK MODERN DENTISTRY PA

Doing business as

Oakland Park Modern Dentistry

Practice address

17000 Red Hill Ave
Irvine, CA 92614-5626

Phone

(714) 845-8890

Fax

(949) 474-1495

NPI assigned

Feb 15, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Minh B Pham, DDS

Title

Owner Dentist

Phone

(954) 261-5665

Specialties & licenses 1

Addresses

Other names 1

• Oakland Park Modern Dentistry Doing business as

Locations

Practitioners 3

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

• Jahan Ara Bokhari

  • Dentist
  • Oakland Park, FL
  • NPI 1295479855

  Multi-Specialty

  NPD (past)
• Jenny Cortes, DMD

  • General Practice Dentistry
  • Oakland Park, FL
  • NPI 1508480187
  NPD (past)
• Pamella Sobrinho Bezerra de a

  • Dentist
  • Hialeah, FL
  • NPI 1154180214
  NPD (past)

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1538528831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 E COMMERCIAL BLVD",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343956",
            "telephone_number": "954-261-5665",
            "fax_number": "954-776-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND PARK MODERN DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "MINH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "954-261-5665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakland Park Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• O'Neill Counseling
• Sean O'Neill, LMFT
• Maryellen O'Reilly, M.D.
• Oakey Medical Corporation
• Zackery Oakey, MD
• Oasis Haven Hospice, Inc.
• Sarah Obaid, NP
• Kaitlyn Mary Oberg
• Olivia Obermeyer
• Trevor Oblouk

• General Practice Dentistry in Irvine, CA
• Providers in Irvine, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.