Tan Pham, DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TAN PHAM, DDS, PA

Doing business as

Katy Dental Implant Center

Practice address

3820 Fry Rd Ste 102
Katy, TX 77449-6844

Phone

(281) 206-7282

NPI assigned

Jun 12, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Tan Pham, DDSNPI 1780067538

Title

Owner

Phone

(281) 206-7282

Specialties & licenses 1

Addresses

Other names 1

• Katy Dental Implant Center Doing business as

Locations

Practitioners 2

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

• Tan Pham, D.D.S

  • General Practice Dentistry
  • Sugar Land, TX
  • NPI 1780067538
  NPD Authorized official
• Minh Van, DDS, MS

  • Prosthodontics
  • Katy, TX
  • NPI 1174294045
  NPD

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1619651437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 FRY RD STE 102",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774496844",
            "telephone_number": "281-206-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 FRY RD STE 102",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774496844",
            "telephone_number": "281-206-7282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAN PHAM, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "TAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-206-7282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Katy Dental Implant Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Katy Dental Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tamara Stout, M.D., P.a. (Family Physicians of Katy)
• Yaniel Alexander Tamayo Verdecia, RN
• Valerie Tamayo
• Sanober M Tamboli, MD
• Radha Ann Tamerisa, M.D.
• Alvin Raymond Co Tan, M.D.
• Tandem Health Services Inc
• Payal Arora Tandon, RBT
• Jennifer Ching Tang, D.D.S.
• Rinky Sagar Tanna, DMD

• General Practice Dentistry in Katy, TX
• Providers in Katy, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.