Active NPI
Henry Long Nguyen Pham, D.D.S.
- General Practice Dentistry
- Dallas, TX
National Provider Identifier
1760896765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30097
- Practice address
- 10455 N Central Expy
Suite 113
Dallas, TX 75231-2213 - Phone
- (214) 838-8042
- NPI assigned
- Jun 17, 2014
- 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 | 30097 | TX | Primary |
Addresses
Primary practice location
10455 N Central Expy
Suite 113
Dallas, TX 75231-2213
Mailing address
1089 W Exchange Pkwy
Apt 4304
Allen, TX 75013-7034
Phone (281) 727-8427
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 |
|---|---|---|---|
| 30097 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402963200000",
"number": "1760896765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1089 W EXCHANGE PKWY",
"address_2": "APT 4304",
"city": "ALLEN",
"state": "TX",
"postal_code": "750137034",
"telephone_number": "281-727-8427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10455 N CENTRAL EXPY",
"address_2": "SUITE 113",
"city": "DALLAS",
"state": "TX",
"postal_code": "752312213",
"telephone_number": "214-838-8042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "HENRY LONG",
"middle_name": "NGUYEN",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-17",
"last_updated": "2014-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "30097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.