Dennis H Pham, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

100207 Issued in CA

Practice address

47875 Caleo Bay Dr # A101
La Quinta, CA 92253-6386

Phone

(760) 564-1300

NPI assigned

Nov 21, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dennis H. Pham DDS Dental Corporation

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • La Quinta, CA
  • NPI 1053852319
  NPD (past) Authorized official

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

{
    "created_epoch": "1384992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1588094908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 ALICANTE CIR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701770",
            "telephone_number": "720-935-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47875 CALEO BAY DR # A101",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922536386",
            "telephone_number": "760-564-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Sunset Way",
            "address_2": "Building C",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890142015",
            "country_code": "US",
            "telephone_number": "702-968-5222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "DENNIS",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-21",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "100207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Perry, PT
• J. Chris Peters, D.C.
• Renee Petersen
• Sarah J Peterson
• Robert D Petrie, MD
• Thi Kim Loan Pham, MD
• Evelyn S Picker, M.D.
• Donna Kay Pillow, LMFT
• Roy Macbeth Pitkin, M.D.
• Morris D Platt, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in La Quinta, CA
• Providers in La Quinta, 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 Apr 4, 2018; 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.