Active NPI
South Houston Family Dental PC
- Dentist
- South Houston, TX
National Provider Identifier
1659814820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 28405
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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 DirectoryNPI 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.