NPIMap

Organization Active NPI

Diep Pham DDS, Inc

  • General Practice Dentistry
  • Lake Jackson, TX
National Provider Identifier
1770840340
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17862 Issued in TX
Legal business name
DIEP PHAM DDS, INC
Practice address
309 Garland Dr
Lake Jackson, TX 77566-6238
Phone
(979) 480-9300
NPI assigned
Apr 19, 2012
Organization subpart
Yes
Parent organization
DIEP PHAM DDS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Authorized official

Name
Diep PhamNPI 1275609802
Title
President
Phone
(281) 208-2016

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 17862 TX Primary

Addresses

Primary practice location

309 Garland Dr
Lake Jackson, TX 77566-6238

Mailing address

PO Box 2086
Alief, TX 77411-2086

Other names 1

  • Gulf Coast Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Diep Pham DDS PA3 organizations share this tax ID, including this one
Part of
Diep Pham DDS PA

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1770840340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2086",
            "city": "ALIEF",
            "state": "TX",
            "postal_code": "774112086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 GARLAND DR",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775666238",
            "telephone_number": "979-480-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIEP PHAM DDS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIEP PHAM DDS, INC",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "DIEP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-208-2016"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Jackson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.