Active NPI
Thien-Kim Pham
- General Practice Dentistry
- Burien, WA
National Provider Identifier
1912583618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DE60983788
- Practice address
- 17694 1St Ave S Unit B
Burien, WA 98148-1747 - Phone
- (206) 767-7777
- NPI assigned
- Mar 23, 2021
- Last updated
- Mar 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE60983788 | WA | Primary |
Addresses
Primary practice location
17694 1St Ave S Unit B
Burien, WA 98148-1747
Mailing address
1108 S 36TH PL
Renton, WA 98055-5884
Phone (253) 241-1334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60983788 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pham T Huynh V Huynh PLLC | General Practice | Current | Accepting new patients |
Locations
17694 1st Ave S
Unit B
Burien, WA 98148
Phone (206) 767-7777
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1912583618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 S 36TH PL",
"city": "RENTON",
"state": "WA",
"postal_code": "980555884",
"telephone_number": "253-241-1334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17694 1ST AVE S UNIT B",
"city": "BURIEN",
"state": "WA",
"postal_code": "981481747",
"telephone_number": "206-767-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "THIEN-KIM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-23",
"last_updated": "2021-03-23",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE60983788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burien, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.