Thoaivan Phan, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

0401007092 Issued in VA

Practice address

13824 Smoketown Rd
Woodbridge, VA 22192-4210

Phone

(571) 285-2980

Fax

(571) 659-2055

NPI assigned

Nov 1, 2006

Last updated

Aug 6, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Angel Hands Dentistry PLLC

  • Dentist
  • Woodbridge, VA
  • NPI 1336574219
  NPD (past) Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1619054624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8819 BURKE RD",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220153619",
            "telephone_number": "703-912-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13824 SMOKETOWN RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924210",
            "telephone_number": "571-285-2980",
            "fax_number": "571-659-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "THOAIVAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401007092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Cuc Pham, DDS
• Nhu-Oanh Thi Pham, PHARMD
• Shawn Ngoc Pham, MSW, LCSW
• Teresa Diemtu Pham, O.D.
• Linh Phan, DDS
• Pharmacy One LLC (Pharmacy One)
• Abigail Atienza Phillips, CRNP
• Brenda Phoeuk, OT
• Phuong Ngoc Nguyen DMD, PLLC. (Woodbridge Oral & Maxillofacial Surgery Center)
• Physical Medicine Associates LTD (National Spine & Pain Centers)

• Dentist in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.