Active NPI
Tan Pham, D.D.S
- General Practice Dentistry
- Sugar Land, TX
National Provider Identifier
1780067538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 31119
- Practice address
- 636 Highway 6
Suite 700
Sugar Land, TX 77478-5141 - Phone
- (281) 240-3210
- NPI assigned
- Jun 29, 2015
- Sex
- Male
- Sole proprietor
- No
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 | 31119 | TX | Primary |
Addresses
Primary practice location
636 Highway 6
Suite 700
Sugar Land, TX 77478-5141
Mailing address
17922 Avalon Point CT
Cypress, TX 77429-5267
Phone (626) 383-2842
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 |
|---|---|---|---|
| 31119 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MTV Dental, PLLC | General Practice | Current | Accepting new patients |
| Tan Pham, DDS, PA | General Practice | Current | Accepting new patients |
| A 7 Dental | General Practice | Past | Accepting new patients |
Locations
636 Highway 6
Ste 700
Sugar Land, TX 77478
Phone (281) 240-3210
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Sugar Land, TX
- NPI 1114293347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435536000000",
"number": "1780067538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17922 AVALON POINT CT",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774295267",
"telephone_number": "626-383-2842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 HIGHWAY 6",
"address_2": "SUITE 700",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774785141",
"telephone_number": "281-240-3210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "TAN",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-29",
"last_updated": "2015-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "31119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.