Maianh Christina Pham, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DE60879436 Issued in WA

Practice address

444 Ramsay Way Ste 109
Kent, WA 98032-4536

Phone

(253) 237-6903

NPI assigned

Jul 22, 2018

Last updated

Aug 24, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1532217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1609353747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 N 10TH PL APT 2108",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575476",
            "telephone_number": "850-207-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 RAMSAY WAY STE 109",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980324536",
            "telephone_number": "253-237-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "MAIANH",
        "middle_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-22",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN23357",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60879436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rizalynne Rose Phal, PHARM.D
• Brian Pham, M.D.
• Chinh Pham
• Danh Pham, DMD
• Hien Pham, MD
• Oanh H Pham, RPH
• Thuy Pham, DO
• Hoaichi Phan, D.M.D.
• Carla Phaneuf Viltz, BA, CDP
• Pharmacy Corporation of America (Pharmerica)

• Dentist in Kent, WA
• Providers in Kent, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.