Tam Pham, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010226 Issued in IN

Practice address

8 Hill Ave
Knightstown, IN 46148-1228

Phone

(765) 345-5677

Fax

(765) 345-5617

NPI assigned

Oct 11, 2006

Last updated

Jun 16, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Knightstown Dental PC

  dba New Castle Dental

  • General Practice Dentistry
  • Knightstown, IN
  • NPI 1215133574
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1548359359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HILL AVE",
            "city": "KNIGHTSTOWN",
            "state": "IN",
            "postal_code": "461481228",
            "telephone_number": "765-345-5677",
            "fax_number": "765-345-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HILL AVE",
            "city": "KNIGHTSTOWN",
            "state": "IN",
            "postal_code": "461481228",
            "telephone_number": "765-345-5677",
            "fax_number": "765-345-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "TAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200301830A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kylie Langdon, DDS
• Mary Elizabeth Sheehan D.D.S., P.C.
• MFDC of Indiana, Inc (Gentle Dentist - Knightstown)
• Lindsey Morrison, FNP
• Anne Elizabeth Myers Neitzke, D.D.S.
• Nicole Phelps, COTA
• Amy Meyer Ploeger, DDS
• Richard a Armstrong DDS, PC
• Aimee Rodeghero, MA, CCC-SLP
• Cornelius J Shaneyfelt, O.D.

• General Practice Dentistry in Knightstown, IN
• Providers in Knightstown, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.