Organization Active NPI

Hien N Pham, DDS, Inc

  • Dentist
  • Clovis, CA
National Provider Identifier
1629462387
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
42396 Issued in CA
Legal business name
HIEN N PHAM, DDS, INC
Practice address
3151 Willow Ave
Clovis, CA 93612-4717
Phone
(559) 299-9556
NPI assigned
Mar 20, 2015
Last updated
Mar 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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

Authorized official

Name
Dr. Hien N Pham, DDSNPI 1275655748
Title
President
Phone
(559) 299-9556

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 42396 CA Primary

Addresses

Primary practice location

3151 Willow Ave
Clovis, CA 93612-4717

Mailing address

3151 Willow Ave
Clovis, CA 93612-4717
Phone (559) 299-9556

National Provider Directory

National Provider Directory
Tax ID family
Clovis Gentle Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3151 Willow Ave
Clovis, CA 93612
Phone (559) 299-9556

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1629462387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 WILLOW AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936124717",
            "telephone_number": "559-299-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 WILLOW AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936124717",
            "telephone_number": "559-299-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIEN N PHAM, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-20",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "HIEN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-299-9556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "42396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; 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.