Individual provider Active NPI

Huy Quoc Pham, DMD

  • Dentist
  • Houston, TX
National Provider Identifier
1922669514
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
35415 Issued in TX
Practice address
9738 Katy Fwy Ste 400
Houston, TX 77055-6214
Phone
(832) 548-1533
NPI assigned
Jun 24, 2019
Last updated
Jun 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 35415 TX Primary

Addresses

Primary practice location

9738 Katy Fwy Ste 400
Houston, TX 77055-6214

Mailing address

11910 Bourgeois Forest Dr
Houston, TX 77066-3210
Phone (713) 737-5053

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

LicenseStateTypeSpecialty
35415TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Branch Dental PLLC Current Accepting new patients

Locations

9738 Katy Fwy
Ste 400
Houston, TX 77055
Phone (713) 530-7645

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": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1922669514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11910 BOURGEOIS FOREST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770663210",
            "telephone_number": "713-737-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9738 KATY FWY STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770556214",
            "telephone_number": "832-548-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "HUY",
        "middle_name": "QUOC",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "35415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 24, 2019; 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.