Philong Pham DDS Dental Professional Corporation

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

PHILONG PHAM DDS DENTAL PROFESSIONAL CORPORATION

Practice address

111 Academy Ste 150
Irvine, CA 92617-3053

Phone

(949) 877-7753

NPI assigned

Jul 26, 2022

Last updated

Jul 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Philong Pham, DDSNPI 1386066629

Title

Owner, Cmo

Phone

(310) 570-0823

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Philong Pham, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Santa Ana, CA
  • NPI 1386066629
  NPD Authorized official

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1578299277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ACADEMY STE 150",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926173053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ACADEMY STE 150",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926173053",
            "telephone_number": "949-877-7753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2871 Park Ave Ste 11C",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927822711",
            "country_code": "US",
            "telephone_number": "949-877-7753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHILONG PHAM DDS DENTAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "PHILONG",
        "authorized_official_title_or_position": "OWNER, CMO",
        "authorized_official_telephone_number": "310-570-0823",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ava Desiree Phillips
• Gary Benjamin Phillips, D.D.S.
• Joseph James Phillips
• Kenneth Phillips
• Lagina Phillips
• Kaitlyn Elizabeth Philpott, PA-C
• Phoenix House Orange County, Inc.
• Phoenix Medical Devices, LLC (Pain Relief Technologies)
• Allen Phu
• Mike CHI Phu

• Orthodontics and Dentofacial Orthopedics Dentistry in Irvine, CA
• Providers in Irvine, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.