Organization Active NPI

Quan Minh Pham DDS

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1548423197
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4277 Issued in NV
Legal business name
QUAN MINH PHAM DDS
Practice address
3600 Cambridge St # 1
Las Vegas, NV 89169-4003
Phone
(702) 732-3600
Fax
(702) 369-9963
NPI assigned
Jul 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Dr. Quan Minh Pham, D.D.S
Title
President
Phone
(702) 327-6685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4277 NV Primary

Addresses

Primary practice location

3600 Cambridge St # 1
Las Vegas, NV 89169-4003

Mailing address

3600 Cambridge St # 1
Las Vegas, NV 89169-4003
Phone (702) 732-3600

National Provider Directory

National Provider Directory

Locations

3600 Cambridge St
Ste 1
Las Vegas, NV 89169
Phone (702) 732-3600

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1548423197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 CAMBRIDGE ST # 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891694003",
            "telephone_number": "702-732-3600",
            "fax_number": "702-369-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 CAMBRIDGE ST # 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891694003",
            "telephone_number": "702-732-3600",
            "fax_number": "702-369-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAN MINH PHAM DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "QUAN",
        "authorized_official_middle_name": "MINH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-327-6685",
        "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": "4277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.