Thomas T Pham, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5261 Issued in AZ

Practice address

18731 N Reems Rd
Ste. 600
Surprise, AZ 85374-8644

Phone

(623) 544-4555

Fax

(623) 544-4547

NPI assigned

Jul 18, 2006

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 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

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.

• TP Dentistry

  • Dentist
  • Surprise, AZ
  • NPI 1891975371
  NPD (past) Authorized official

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1891714192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18731 N REEMS RD",
            "address_2": "STE. 600",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748644",
            "telephone_number": "623-544-4555",
            "fax_number": "623-544-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18731 N REEMS RD",
            "address_2": "STE. 600",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748644",
            "telephone_number": "623-544-4555",
            "fax_number": "623-544-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "THOMAS",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott E Peterson, PT, ATC
• Dwayne Petray
• Petruske Consulting LLC
• Peyman a. Elison DPM PC
• Nicholas Minh Pham, MD
• Jocelin Q Phan, PHARM D.
• Luu Phan
• Victoria Phan
• Pharmaprodia LLC
• Amber Philson

• General Practice Dentistry in Surprise, AZ
• Providers in Surprise, 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 Nov 13, 2007; 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.