Anh Tuan Pham, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

32377 Issued in TX

Practice address

2300 S Mason Rd
Katy, TX 77450-6267

Phone

(281) 879-7749

NPI assigned

Sep 7, 2016

Sex

Male

Sole proprietor

Yes

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 NM

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

State licenses

Practice roles

Locations

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.

• Simply Smile Dental Studio PLLC

  • General Practice Dentistry
  • Katy, TX
  • NPI 1053175208
  NPD Authorized official
• SW Dental Care

  • Dentist
  • Houston, TX
  • NPI 1962670273
  NPD (past)

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1871040824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 S MASON RD STE 104",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774506268",
            "telephone_number": "281-394-0999",
            "fax_number": "281-394-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S MASON RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774506267",
            "telephone_number": "281-879-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "ANH",
        "middle_name": "TUAN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-07",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Elizabeth Peyton, LPC-S
• Meredith Pezold
• Willy Pezzia, M.D.
• Kristin Pfeffer
• Tuan-Anh Thi Pham-Du
• Dat Van Pham, DDS
• David Hong Pham, M.D.
• Elizabeth Pham, DMD
• Emily Pham, OTD
• Matthew Pham, OD

• Dentist in Katy, TX
• Providers in Katy, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.