Active NPI
Hoa Pham
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1568511194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19945
- Practice address
- 3701 Kirby Dr
Suite 550
Houston, TX 77098-3900 - Phone
- (713) 643-0040
- NPI assigned
- Jan 10, 2007
- Last updated
- Apr 1, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 19945 | TX | Primary |
Addresses
Primary practice location
3701 Kirby Dr
Suite 550
Houston, TX 77098-3900
Mailing address
10917 Scarsdale Blvd
Suite 550
Houston, TX 77089-6024
Phone (281) 481-2234
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160422000029 | TX | Order and Referring Only - Other (Physician) | 9436458650 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19945 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accent Dental Care PA | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Houston, TX
- NPI 1811153257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459468800000",
"number": "1568511194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10917 SCARSDALE BLVD",
"address_2": "SUITE 550",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770896024",
"telephone_number": "281-481-2234",
"fax_number": "281-482-2344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 KIRBY DR",
"address_2": "SUITE 550",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770983900",
"telephone_number": "713-643-0040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "HOA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2016-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "19945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.