Khanh Pham, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5854 Issued in AZ

Practice address

6865 E Becker LN Ste 100
Scottsdale, AZ 85254-6730

Phone

(480) 998-8073

Fax

(480) 922-0560

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Accucare Dental Centers PC

  • General Practice Dentistry
  • Scottsdale, AZ
  • NPI 1083632780
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1851313290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 S RURAL RD",
            "address_2": "STE 1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833793",
            "telephone_number": "480-831-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6865 E BECKER LN STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546730",
            "telephone_number": "480-998-8073",
            "fax_number": "480-922-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "KHANH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael K. Pfleger, M.D.
• Ashley Phalen, CCC-SLP
• Cliff C Pham, MD
• Duc Minh Pham, MD
• Jennifer L Pham, LMSW
• May Pham
• Michael Pham, MD
• Mike Duc Pham, D.O.
• Thanh Gia Pham, D.C.
• Nguyen Phan, DMD

• General Practice Dentistry in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.