Mercedes Minh-Thanh Phan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39900 Issued in TX

Practice address

102 Fairmont Pkwy
Pasadena, TX 77504-2742

Phone

(713) 944-8008

NPI assigned

Aug 10, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Phantastic Dental Care PA

  • General Practice Dentistry
  • Galena Park, TX
  • NPI 1467118182
  NPD

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1760165336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10042 KATHERINE CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770892136",
            "telephone_number": "832-328-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 FAIRMONT PKWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042742",
            "telephone_number": "713-944-8008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1705 Clinton Dr",
            "address_purpose": "LOCATION",
            "city": "Galena Park",
            "state": "TX",
            "postal_code": "775473224",
            "country_code": "US",
            "telephone_number": "713-672-4779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 Uvalde Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770151438",
            "country_code": "US",
            "telephone_number": "731-330-4138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAN",
        "first_name": "MERCEDES",
        "middle_name": "MINH-THANH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hieu T. Pham, D.O.
• Nguyen Pham
• Tuan Quoc Pham, D.D.S.
• Tung Cao Pham
• Mary Ngoc Phan, DDS
• Michael Bao-Ngoc Phan, MD
• Minh H Phan, DDS
• Thanh Ngoc Phan
• Thuy Phan, PHARM.D.
• Phantastic Family Dental Center

• General Practice Dentistry in Pasadena, TX
• Providers in Pasadena, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.