Active NPI
Minh Phan DDS PA
- Dentist
- Pasadena, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 19016
- Legal business name
- MINH PHAN DDS PA
- Practice address
- 905 Southmore
Pasadena, TX 77502 - Phone
- (713) 473-7223
- Fax
- (713) 473-7206
- NPI assigned
- Apr 16, 2007
- Last updated
- Dec 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Minh H Phan, DDS
- Title
- President
- Phone
- (713) 473-7223
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 19016 | TX | Primary |
Addresses
Primary practice location
905 Southmore
Pasadena, TX 77502
Mailing address
905 Southmore
Pasadena, TX 77502
Phone (713) 473-7223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G6010101 | Other | TX | DELTA DENTAL |
National Provider Directory
National Provider Directory- Tax ID family
- Minh Phan DDS PA
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Galena Park, TX
- NPI 1639393804
-
- Dentist
- Pasadena, TX
- NPI 1659596641
Locations
905 Southmore Ave
Pasadena, TX 77502
Phone (713) 473-7223
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.
-
- Dentist
- Pasadena, TX
- NPI 1417027186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197504000000",
"number": "1740405737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 SOUTHMORE",
"city": "PASADENA",
"state": "TX",
"postal_code": "77502",
"telephone_number": "713-473-7223",
"fax_number": "713-473-7206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 SOUTHMORE",
"city": "PASADENA",
"state": "TX",
"postal_code": "77502",
"telephone_number": "713-473-7223",
"fax_number": "713-473-7206"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINH PHAN DDS PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-16",
"last_updated": "2007-12-13",
"status": "A",
"authorized_official_last_name": "PHAN",
"authorized_official_first_name": "MINH",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "713-473-7223",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "19016",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL",
"identifier": "G6010101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.