Organization Active NPI

Roger V Pham, D.D.S., Inc.

Doing business as Gentle Family Dentistry

  • Dental Clinic/Center
  • Bakersfield, CA
National Provider Identifier
1538983267
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ROGER V PHAM, D.D.S., INC.
Doing business as
Gentle Family Dentistry
Practice address
9900 Stockdale Hwy Ste 201
Bakersfield, CA 93311-3634
Phone
(661) 664-9900
Fax
(661) 665-7918
NPI assigned
Nov 11, 2024
Last updated
Nov 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Roger Van Pham, DDSNPI 1295193746
Title
President
Phone
(714) 603-1795

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)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

9900 Stockdale Hwy Ste 201
Bakersfield, CA 93311-3634

Mailing address

9900 Stockdale Hwy Ste 201
Bakersfield, CA 93311-3634
Phone (661) 664-9900

Other names 1

  • Gentle Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

9900 Stockdale Hwy
Ste 201
Bakersfield, CA 93311
Phone (661) 664-9900

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1538983267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 STOCKDALE HWY STE 201",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113634",
            "telephone_number": "661-664-9900",
            "fax_number": "661-665-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 STOCKDALE HWY STE 201",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933113634",
            "telephone_number": "661-664-9900",
            "fax_number": "661-665-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER V PHAM, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-10",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-603-1795",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Family 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 Nov 11, 2024; 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.