Kathleen Camlai Pham Dela Paz, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

18800 Issued in TX

Practice address

6500 Rookin St Unit a
Houston, TX 77074-5019

Phone

(713) 273-3700

NPI assigned

May 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

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

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.

• Legacy Community Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1679524961
  Medicare reassignment
• Parkway Dental Associates, PA

  • General Practice Dentistry
  • Houston, TX
  • NPI 1316935877
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1871543496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26314 BOLTON TRAILS LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943788",
            "telephone_number": "713-292-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 ROOKIN ST UNIT A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770745019",
            "telephone_number": "713-273-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8800 W Sam Houston Pkwy S",
            "address_2": "Suite #101",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770995208",
            "country_code": "US",
            "telephone_number": "281-879-8150",
            "fax_number": "281-879-8155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM DELA PAZ",
        "first_name": "KATHLEEN",
        "middle_name": "CAMLAI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0907743-13",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0907743-12",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0907743-10",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• PH Dentistry, PC
• Kanchan Phalak, M.D.
• Sameer Phalak, M.D.
• Pham & Lucas Enterprises, Inc
• Pham & Sons Corp. Dba Central Pharmacy
• Pham Medical Clinic PA
• Linda T Pham-Huynh, RPH
• Adryene Anh Vu Pham, PA-C
• Amanda Dan-Thanh Pham, RPH
• Amy-an Pham, RN, BSN

• General Practice Dentistry in Houston, TX
• Providers in Houston, 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 Jul 15, 2022; 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.