Pinnacle Orthodontics, Inc. - Robert N. Pham, D.D.S., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

21130 Issued in OH

Legal business name

PINNACLE ORTHODONTICS, INC. - ROBERT N. PHAM, D.D.S., M.S.

Practice address

1501 Stonecreek Dr S
Suite 102
Pickerington, OH 43147-9838

Phone

(614) 866-3411

Fax

(614) 866-2544

NPI assigned

Jun 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert N. Pham, D.D.S., M.S.NPI 1912018235

Title

President

Phone

(614) 866-3411

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.

• Robert Ngoc Pham, D.D.S., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pickerington, OH
  • NPI 1912018235
  NPD (past) Authorized official

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472169600000",
    "number": "1609815679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 STONECREEK DR S",
            "address_2": "SUITE 102",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479838",
            "telephone_number": "614-866-3411",
            "fax_number": "614-866-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 STONECREEK DR S",
            "address_2": "SUITE 102",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479838",
            "telephone_number": "614-866-3411",
            "fax_number": "614-866-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE ORTHODONTICS, INC. - ROBERT N. PHAM, D.D.S., M.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2016-08-26",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-866-3411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "21130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pickerington Pharmacy LLC
• Pickerinton Area Counseling
• Andrew Picklesimer, LMT
• Jennifer A Pierce, LMT
• James Pinkard
• Suzzane Roena Pistole, PA-C
• Julie Pitman, M.ED.
• Michael Patrick Poland, MD
• Nakate Polk, STNA
• Monica Ayn Pomi

• Orthodontics and Dentofacial Orthopedics Dentistry in Pickerington, OH
• Providers in Pickerington, OH by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; 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.