Minh-Duc Dinh Pham, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

44057 Issued in CA

Practice address

9559 Bolsa Ave
Suite C
Westminster, CA 92683-5904

Phone

(714) 531-0999

Fax

(714) 531-4999

NPI assigned

Jun 29, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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.

• Minh-Duc Dinh Pham DDS

  • General Practice Dentistry
  • Westminster, CA
  • NPI 1083930366
  NPD (past) Authorized official
• Tuan Dinh Pham, DDS, Inc

  • General Practice Dentistry
  • Huntington Beach, CA
  • NPI 1538283478
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1891723839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SORBONNE ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926838917",
            "telephone_number": "714-271-7323",
            "fax_number": "714-379-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9559 BOLSA AVE",
            "address_2": "SUITE C",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835904",
            "telephone_number": "714-531-0999",
            "fax_number": "714-531-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "MINH-DUC",
        "middle_name": "DINH",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "44057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D-44057",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khoa Dang Pham
• Kim Nguyen N Pham, OMD, LA.C
• Lan Pham
• Lan N Pham, D.D.S.
• Loan Anh Thi Pham, RN
• Nam H Pham
• Natalie Pham, DC
• Natalie Ngoc Pham, DDS
• Ngan Kim Pham
• Nghia Dinh Pham, DMD

• Dentist in Westminster, CA
• Providers in Westminster, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.