Organization Active NPI

John Pham DMD Inc

  • General Practice Dentistry
  • Anaheim, CA
National Provider Identifier
1710625942
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JOHN PHAM DMD INC
Practice address
965 S Beach Blvd
Anaheim, CA 92804-3983
Phone
(714) 527-2982
NPI assigned
May 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Authorized official

Name
John C Pham, DMDNPI 1720097264
Title
President
Phone
(714) 527-2982

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

965 S Beach Blvd
Anaheim, CA 92804-3983

Mailing address

965 S Beach Blvd
Anaheim, CA 92804-3983
Phone (714) 527-2982

National Provider Directory

National Provider Directory

Locations

965 S Beach Blvd
Anaheim, CA 92804
Phone (714) 527-2982

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1710625942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 S BEACH BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043983",
            "telephone_number": "714-527-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 S BEACH BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043983",
            "telephone_number": "714-527-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN PHAM DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-527-2982",
        "authorized_official_credential": "DMD"
    },
    "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 Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.