Roger V. Pham, D.D.S., a Professional Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ROGER V. PHAM, D.D.S., A PROFESSIONAL DENTAL CORPORATION

Practice address

5603 Auburn St Unit B
Bakersfield, CA 93306-2979

Phone

(661) 327-2189

Fax

(661) 327-4350

NPI assigned

Nov 11, 2024

Organization subpart

No

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

Authorized official

Name

Roger Van Pham, DDSNPI 1295193746

Title

President

Phone

(661) 327-2189

Specialties & licenses 1

Addresses

Other names 1

• Auburn Dental Center Doing business as

Locations

Practitioners 2

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

• Roger Van Pham, D.D.S.

  • General Practice Dentistry
  • Bakersfield, CA
  • NPI 1295193746
  NPD Authorized official
• Eric Van Pham, DMD

  • Dentist
  • Bakersfield, CA
  • NPI 1790401941
  NPD

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1851115596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5603 AUBURN ST UNIT B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933062979",
            "telephone_number": "661-327-2189",
            "fax_number": "661-327-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5603 AUBURN ST UNIT B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933062979",
            "telephone_number": "661-327-2189",
            "fax_number": "661-327-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER V. PHAM, D.D.S., A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-10",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-327-2189",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Auburn Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John A Roefs, MD
• Jessica Roestenburg, DO
• Colin Bradley Rogan, LVN
• Roger Kohn MD Inc.
• Roger V Pham, D.D.S., Inc.
• Amyyah Rogers
• Elizabeth Rogers, MA, LMFT
• Johnie Lynn Rogers, MEDICAL ASSISTANT
• Leah Rogers, RPH
• Mary Lucille Rogers

• Dental Clinic/Center in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.