Pham and Mauseth DDS Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PHAM AND MAUSETH DDS INC

Doing business as

4S Pediatric Dentistry

Practice address

16918 Dove Canyon Rd Ste 203
San Diego, CA 92127-3457

Phone

(858) 451-5437

NPI assigned

May 22, 2014

Organization subpart

No

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

Authorized official

Name

Chieu Pham

Title

President

Phone

(408) 390-7228

Specialties & licenses 1

Addresses

Other names 1

• 4S Pediatric Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Arielle Ganas, DDS

  • Pediatric Dentistry
  • San Diego, CA
  • NPI 1841789724
  NPD (past)

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1578975728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16918 DOVE CANYON RD STE 203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16918 DOVE CANYON RD STE 203",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273457",
            "telephone_number": "858-451-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAM AND MAUSETH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "CHIEU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-390-7228"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "4S Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Manisha Phadnis
• Kaylen Anh Phakeokoth
• Silikoun Phoxa Phakhounleuang
• Natalie Phakornkham
• Pham & Nguyen Chiropractic Corp. (Western Chiropractic Center)
• Pham DDS Dental Corp
• Oanh Pham Hutson
• Andy Nghia Pham, DPT
• Angela Pham, MD
• Anh Thu Nu Pham, RPH

• Pediatric Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.