Tri Huu Pham, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

24570 Issued in TX

Practice address

6426 Meadowbrook Dr
Fort Worth, TX 76112-5123

Phone

(817) 496-2343

NPI assigned

Jun 1, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Practice roles

Locations

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

• Affordable Dentist Near Me in Waco PLLC

  • Dental Clinic/Center
  • Waco, TX
  • NPI 1760842587
  Medicare reassignment NPD
• Affordable Dentist Near Me PLLC

  • Dental Clinic/Center
  • Fort Worth, TX
  • NPI 1770952814

  Dentist

  Medicare reassignment NPD
• Affordable Dentist Near Me in Longview PLLC

  • General Practice Dentistry
  • Longview, TX
  • NPI 1245942846
  NPD
• Affordable Dentist Near Me PLLC

  • Dental Clinic/Center
  • Fort Worth, TX
  • NPI 1760234165
  NPD
• Affordable Dentist Near Me PLLC

  • Dental Clinic/Center
  • Crowley, TX
  • NPI 1992174031

  Dentist

  NPD

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1558597963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6426 MEADOWBROOK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761125123",
            "telephone_number": "181-749-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6426 MEADOWBROOK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761125123",
            "telephone_number": "817-496-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "TRI HUU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-01",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "24570",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "24570",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Cuong Pham
• Khoa N Pham, MD
• Linda Hoang Pham, D.C.
• Linda Ngoc Pham, PMHNP-BC
• Peter Minh Pham, DO
• Cameron Phan
• Chris Quoc Phan, PHARMACIST
• Danh Phan
• Huong-Duong Ngoc Phan, MD
• Katherine Phan

• Oral and Maxillofacial Surgery (Dentist) in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.