Brian Pham, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40934 Issued in TX

Practice address

226 N Cedar Ridge Dr
Duncanville, TX 75116-3141

Phone

(972) 298-8515

NPI assigned

Sep 23, 2024

Last updated

Sep 23, 2024By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Divih, PLLC

  • General Practice Dentistry
  • Duncanville, TX
  • NPI 1821758137
  NPD

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1871310839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 PECAN MEADOW DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 N CEDAR RIDGE DR",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751163141",
            "telephone_number": "972-298-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "BRIAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "40934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pec Medical Consulting, PLLC
• Alexander Peralta Jr., MD
• Permanent Resolutions
• Anthony Peterson, OD
• Courtney Lynn Petsch, MA, BCBA
• PHCS,Inc (Premier Health Care Services II)
• Phillips Family Medical, PLLC
• Joe Arnold Phipps, D.O.
• Kathleen Pittman, RPH
• Leah Jean Pittmon, D.C.

• General Practice Dentistry in Duncanville, TX
• Providers in Duncanville, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.