Active NPI
Tung Cao Pham
- General Practice Dentistry
- Pasadena, TX
National Provider Identifier
1740517465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0025089
- Practice address
- 1824 Strawberry Rd
Pasadena, TX 77502-2610 - Phone
- (713) 477-3858
- NPI assigned
- Nov 17, 2009
- Sex
- Male
- 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 | 0025089 | TX | Primary |
Addresses
Primary practice location
1824 Strawberry Rd
Pasadena, TX 77502-2610
Mailing address
1824 Strawberry Rd
Pasadena, TX 77502-2610
Phone (713) 477-3858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TPI 206738101 | Medicaid | TX |
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 |
|---|---|---|---|
| 0025089 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295913600000",
"number": "1740517465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1824 STRAWBERRY RD",
"city": "PASADENA",
"state": "TX",
"postal_code": "775022610",
"telephone_number": "713-477-3858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1824 STRAWBERRY RD",
"city": "PASADENA",
"state": "TX",
"postal_code": "775022610",
"telephone_number": "713-477-3858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "TUNG",
"middle_name": "CAO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-17",
"last_updated": "2011-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "0025089",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TPI 206738101",
"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 Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.