Organization Active NPI

Robert Pham DDS a Professional Corp.

  • General Practice Dentistry
  • Henderson, NV
National Provider Identifier
1700909975
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ROBERT PHAM DDS A PROFESSIONAL CORP.
Practice address
55 E. Horizon Ridge Pkwy.
Ste 100
Henderson, NV 89002
Phone
(702) 436-2232
Fax
(702) 436-0515
NPI assigned
Apr 10, 2007
Last updated
Sep 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Authorized official

Name
Dr. Robert Nhan Pham, DDSNPI 1619116340
Title
Owner
Phone
(702) 985-5158

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

55 E. Horizon Ridge Pkwy.
Ste 100
Henderson, NV 89002

Mailing address

5516 Boulder Hwy
Ste. 2a
Las Vegas, NV 89122-6000
Phone (702) 985-5158

National Provider Directory

National Provider Directory

Locations

55 E Horizon Ridge Pkwy
Ste 100
Henderson, NV 89002
Phone (702) 436-2232

5516 Boulder Hwy
Ste 2A
Las Vegas, NV 89122

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": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1700909975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5516 BOULDER HWY",
            "address_2": "STE. 2A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891226000",
            "telephone_number": "702-985-5158",
            "fax_number": "702-547-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E. HORIZON RIDGE PKWY.",
            "address_2": "STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89002",
            "telephone_number": "702-436-2232",
            "fax_number": "702-436-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT PHAM DDS A PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-985-5158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.