Active NPI
Thuan N Pham, D.D.S
- Dentist
- Hickory Creek, TX
National Provider Identifier
1912934167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22284
- Practice address
- 4550 Swisher Road
Hickory Creek, TX 75065 - Phone
- (972) 999-7342
- NPI assigned
- Jun 26, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 22284 | TX | Primary |
Addresses
Primary practice location
4550 Swisher Road
Hickory Creek, TX 75065
Mailing address
3972 Spinnaker Run PT
Little Elm, TX 75068-3110
Phone (972) 999-7342
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 |
|---|---|---|---|
| 22284 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| America Dental | Dentist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Dentist
- Hickory Creek, TX
- NPI 1104100361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318550400000",
"number": "1912934167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3972 SPINNAKER RUN PT",
"city": "LITTLE ELM",
"state": "TX",
"postal_code": "750683110",
"telephone_number": "972-999-7342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 SWISHER ROAD",
"city": "HICKORY CREEK",
"state": "TX",
"postal_code": "75065",
"telephone_number": "972-999-7342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "THUAN",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2011-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "22284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hickory Creek, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.