Active NPI
Christina Pham, DDS
- General Practice Dentistry
- Centennial, CO
National Provider Identifier
1669994448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN.00203280
- Practice address
- 6262 S Parker Rd Unit 300
Centennial, CO 80016-1392 - Phone
- (303) 690-4500
- NPI assigned
- Jul 12, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DEN.00203280 | CO | Primary |
Addresses
Primary practice location
6262 S Parker Rd Unit 300
Centennial, CO 80016-1392
Mailing address
15791 E Progress Dr
Centennial, CO 80015-4257
Phone (720) 207-4201
Other practice location 1
2055 W 136th Ave Ste B136
Broomfield, CO 80023-9308
Phone (303) 452-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00203280 | CO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heather Park Dental Care, LLC | General Practice | Past | Accepting new patients |
| Christina Pham DDS, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Parker, CO
- NPI 1205470549
-
- General Practice Dentistry
- Centennial, CO
- NPI 1235214065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1669994448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15791 E PROGRESS DR",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "800154257",
"telephone_number": "720-207-4201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6262 S PARKER RD UNIT 300",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "800161392",
"telephone_number": "303-690-4500"
}
],
"practiceLocations": [
{
"address_1": "2055 W 136th Ave Ste B136",
"address_purpose": "LOCATION",
"city": "Broomfield",
"state": "CO",
"postal_code": "800239308",
"country_code": "US",
"telephone_number": "303-452-2800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHAM",
"first_name": "CHRISTINA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-12",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "DEN.00203280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.