Jordan Pham Dental Corporation

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

51597 Issued in CA

Legal business name

JORDAN PHAM DENTAL CORPORATION

Doing business as

Jordan & Pham Dentistry

Practice address

30212 Tomas
Suite 340
Rancho Santa Margarita, CA 92688

Phone

(949) 888-5665

Fax

(949) 888-6835

NPI assigned

May 4, 2010

Organization subpart

No

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

Authorized official

Name

Christopher A Jordan, D.D.S.NPI 1275551566

Title

President

Phone

(949) 888-5665

Specialties & licenses 1

Addresses

Other names 1

• Jordan & Pham Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Jordan, D.D.S.

  • General Practice Dentistry
  • Rancho Santa Margarita, CA
  • NPI 1275551566
  NPD Authorized official
• Camtu Pham, D.D.S.

  • General Practice Dentistry
  • Rancho Santa Margarita, CA
  • NPI 1457379745
  NPD

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1710205505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30212 TOMAS",
            "address_2": "SUITE 340",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "92688",
            "telephone_number": "949-888-5665",
            "fax_number": "949-888-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30212 TOMAS",
            "address_2": "SUITE 340",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "92688",
            "telephone_number": "949-888-5665",
            "fax_number": "949-888-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN PHAM DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-888-5665",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "51597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jordan & Pham Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alfredo Jimenez
• JL Mobile Phlebotomy LLC (JenniferLujan)
• Christina Marie Johnson, SLP
• David A Johnson, D.C.
• Monique T Johnson, PHARM.D.
• Christopher Jordan, D.D.S.
• Melissa Joseph
• Payal Joshi
• Journey Within Healing, a Marriage and Family Counseling Center P.C. (Journey Within Healing)
• Marion Kabiling, BS, PTA, ATC

• Point of Service in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.