Organization Active NPI

Pham D.M.D. Dental Corporation

  • Dentist
  • Santa Ana, CA
National Provider Identifier
1639538382
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PHAM D.M.D. DENTAL CORPORATION
Practice address
2414 S Fairview St
Santa Ana, CA 92704-5318
Phone
(714) 426-9576
NPI assigned
Feb 22, 2016
Last updated
Feb 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Authorized official

Name
Mai PhamNPI 1245643154
Title
DMD/Owner
Phone
(714) 426-9576

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

2414 S Fairview St
Santa Ana, CA 92704-5318

Mailing address

2414 S Fairview St
Santa Ana, CA 92704-5318

National Provider Directory

National Provider Directory

Locations

2414 S Fairview St
Santa Ana, CA 92704
Phone (714) 222-5336

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": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1639538382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 S FAIRVIEW ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 S FAIRVIEW ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045318",
            "telephone_number": "714-426-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAM D.M.D. DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "MAI",
        "authorized_official_title_or_position": "DMD/OWNER",
        "authorized_official_telephone_number": "714-426-9576"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.