Vincent Pham, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7541 Issued in LA

Practice address

929 Manhattan Blvd Ste D
Harvey, LA 70058-4605

Phone

(504) 208-2904

NPI assigned

Jun 3, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jacob Dent, D.D.S., Westbank Dentistry, a Professional Corporation

  dba Westbank Dentistry

  • General Practice Dentistry
  • Harvey, LA
  • NPI 1689451825
  NPD

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1669213922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 BEN MICHAEL DR",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700725472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 MANHATTAN BLVD STE D",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700584605",
            "telephone_number": "504-208-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "7541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alayne M Perkins
• Ivanyka Irieal Perkins
• Perseverance Excellence Courage Community Medical Tran.Service LLC (4US Transportation Service)
• Linda Pham, DC
• Tuong-VI Vivian Pham
• Latasha Phelps, MS
• Audrey M Phillips
• Phlebotomy Express Services, LLC
• Tanya Lynette Pierre, LCSW
• Kimberlin Diane Pittman, PMHNP-BC

• General Practice Dentistry in Harvey, LA
• Providers in Harvey, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.