Kristine H. Pham, DMD, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KRISTINE H. PHAM, DMD, PLLC

Practice address

1300 NE 134TH St
Vancouver, WA 98685-2747

Phone

(360) 546-5208

NPI assigned

Sep 29, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Kristine H. Pham, DMDNPI 1023184033

Title

Dentist/Owner

Phone

(360) 546-5208

Specialties & licenses 1

Addresses

Other names 1

• NOVA Family Dental Doing business as

Locations

Practitioners 1

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

• Kristine H Pham, DMD

  • General Practice Dentistry
  • Vancouver, WA
  • NPI 1023184033
  NPD Authorized official

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1811669799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 NE 134TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852747",
            "telephone_number": "360-546-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 NE 134TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852747",
            "telephone_number": "360-546-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINE H. PHAM, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "360-546-5208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOVA Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marissa Krienke, MD
• Katerina Krishchenko, RN
• Kristin Harper Counseling
• Staci L Kristin, MD
• Kristine Aadland 2 DMD PLLC
• Stephanie Lynn Kroeker, BA, CDPT
• Shannon Marie Kroenke, MSW, LCSW, MT-BC
• Makayla Krohling
• Rachel Krokus, LCSW
• Darlene Kroon

• Dental Clinic/Center in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.