Active NPI
Chieu Pham DDS Inc
- Pediatric Dentistry
- San Diego, CA
National Provider Identifier
1740535848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- CHIEU PHAM DDS INC
- Practice address
- 12395 El Camino Real #312
San Diego, CA 92130 - Phone
- (858) 755-8282
- NPI assigned
- Jul 16, 2012
- 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
- Chieu Pham, D.D.S.
- Title
- Owner
- Phone
- (408) 390-7228
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | CA | Primary |
Addresses
Primary practice location
12395 El Camino Real #312
San Diego, CA 92130
Mailing address
7411 Olivetas Ave
La Jolla, CA 92037-4925
National Provider Directory
National Provider DirectoryLocations
12395 El Camino Real
Ste 312
San Diego, CA 92130
Phone (858) 259-0331
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- San Diego, CA
- NPI 1972645638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649721600000",
"number": "1740535848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7411 OLIVETAS AVE",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920374925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12395 EL CAMINO REAL #312",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92130",
"telephone_number": "858-755-8282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIEU PHAM DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-16",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A",
"authorized_official_last_name": "PHAM",
"authorized_official_first_name": "CHIEU",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "408-390-7228",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.