Organization Active NPI

TP Dentistry

  • Dentist
  • Surprise, AZ
National Provider Identifier
1891975371
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5261 Issued in AZ
Legal business name
TP DENTISTRY
Practice address
18731 N Reems Rd
Suite 600
Surprise, AZ 85374-8644
Phone
(623) 544-4555
Fax
(623) 544-4547
NPI assigned
Nov 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Thomas T Pham, DDSNPI 1891714192
Title
Dentist
Phone
(623) 544-4555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5261 AZ Primary

Addresses

Primary practice location

18731 N Reems Rd
Suite 600
Surprise, AZ 85374-8644

Mailing address

18731 N Reems Rd
Suite 600
Surprise, AZ 85374-8644
Phone (623) 544-4555

National Provider Directory

National Provider Directory

Locations

18731 N Reems Rd
Ste 600
Surprise, AZ 85374
Phone (623) 544-4555

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1891975371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18731 N REEMS RD",
            "address_2": "SUITE 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": "SUITE 600",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748644",
            "telephone_number": "623-544-4555",
            "fax_number": "623-544-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TP DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "623-544-4555",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "5261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.