NPIMap

Organization Active NPI

Diep Pham DDS PA

Doing business as Gulf Coast Dental - Houston

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1902345044
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DIEP PHAM DDS PA
Doing business as
Gulf Coast Dental - Houston
Practice address
906 Wayside Dr
Houston, TX 77011-2518
Phone
(832) 287-5891
NPI assigned
Feb 22, 2017
Last updated
Mar 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Diep Pham, DDS
Title
Owner/Dentist
Phone
(832) 287-5891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

906 Wayside Dr
Houston, TX 77011-2518

Mailing address

PO Box 1610
Alief, TX 77411-2086

Other names 1

  • Gulf Coast Dental - Houston Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Diep Pham DDS Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1902345044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1610",
            "city": "ALIEF",
            "state": "TX",
            "postal_code": "774112086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 WAYSIDE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770112518",
            "telephone_number": "832-287-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIEP PHAM DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "DIEP",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "832-287-5891",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Dental - Houston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.