Organization Active NPI

South Houston Family Dental PC

  • Dentist
  • South Houston, TX
National Provider Identifier
1659814820
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
28405 Issued in TX
Legal business name
SOUTH HOUSTON FAMILY DENTAL PC
Practice address
701 College Ave
South Houston, TX 77587-4205
Phone
(713) 261-8311
NPI assigned
Nov 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Authorized official

Name
Anh Pham, DDS
Title
Owner
Phone
(713) 261-8311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 28405 TX Primary

Addresses

Primary practice location

701 College Ave
South Houston, TX 77587-4205

Mailing address

701 College Ave
South Houston, TX 77587-4205
Phone (713) 261-8311

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1659814820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 COLLEGE AVE",
            "city": "SOUTH HOUSTON",
            "state": "TX",
            "postal_code": "775874205",
            "telephone_number": "713-261-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 COLLEGE AVE",
            "city": "SOUTH HOUSTON",
            "state": "TX",
            "postal_code": "775874205",
            "telephone_number": "713-261-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HOUSTON FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "ANH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-261-8311",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "28405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.