Individual provider Active NPI

Yves Pham, DMD

  • Dentist
  • North Las Vegas, NV
National Provider Identifier
1568985042
Registry record updated Mar 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6929 Issued in NV
Practice address
281 W Centennial Pkwy Ste 100
North Las Vegas, NV 89084-1350
Phone
(702) 949-0770
Fax
(702) 425-7048
NPI assigned
Jul 17, 2017
Last updated
Mar 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6929 NV Primary

Addresses

Primary practice location

281 W Centennial Pkwy Ste 100
North Las Vegas, NV 89084-1350

Mailing address

6796 Philharmonic Ave
Las Vegas, NV 89139-6784
Phone (714) 400-6339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6929NVMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552176000000",
    "number": "1568985042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6796 PHILHARMONIC AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891396784",
            "telephone_number": "714-400-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 W CENTENNIAL PKWY STE 100",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890841350",
            "telephone_number": "702-949-0770",
            "fax_number": "702-425-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "YVES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2019-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "6929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2019; 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.