Anthony Pham Dental Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ANTHONY PHAM DENTAL CORP

Practice address

2658 E Garvey Ave S
West Covina, CA 91791-2113

Phone

(626) 967-4600

NPI assigned

Oct 17, 2020

Organization subpart

No

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

Authorized official

Name

Anthony Tuan Pham, DDSNPI 1225770605

Title

Dentist

Phone

(951) 582-1304

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Anthony Tuan Pham

  • Dentist
  • West Covina, CA
  • NPI 1225770605
  NPD Authorized official

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

{
    "created_epoch": "1602892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602892800000",
    "number": "1760081129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13697 LOWELL ST",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928803744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2658 E GARVEY AVE S",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917912113",
            "telephone_number": "626-967-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY PHAM DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-17",
        "last_updated": "2020-10-17",
        "certification_date": "2020-10-17",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "TUAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "951-582-1304",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in West Covina, CA
• Providers in West Covina, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2020; 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.