Clovis Gentle Dental Care

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

42396 Issued in CA

Legal business name

CLOVIS GENTLE DENTAL CARE

Doing business as

Hien N Pham, Inc

Practice address

3151 Willow Ave
Clovis, CA 93612-4717

Phone

(559) 299-9556

Fax

(559) 299-4870

NPI assigned

Sep 17, 2008

Last updated

Sep 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hien N Pham, DDSNPI 1275655748

Title

Owner

Phone

(559) 299-9556

Specialties & licenses 1

Addresses

Other names 1

• Hien N Pham, Inc Doing business as

Tax ID family

Clovis Gentle Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Hien N Pham, DDS, Inc

  • Dentist
  • Clovis, CA
  • NPI 1629462387
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hien N. Pham, D.D.S.

  • General Practice Dentistry
  • Clovis, CA
  • NPI 1275655748
  NPD (past) Authorized official

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1952550709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 WILLOW AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936124717",
            "telephone_number": "559-299-9556",
            "fax_number": "559-299-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 WILLOW AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936124717",
            "telephone_number": "559-299-9556",
            "fax_number": "559-299-4870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVIS GENTLE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "HIEN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-299-9556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "42396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hien N Pham, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clovis Adult Day Health Care, Inc
• Clovis Community Medical Center
• Clovis Dermatology, Inc (Clovis Dermatology)
• Clovis Endoscopy ASC, LLC (Clovis Endoscopy Center)
• Clovis Family Therapy, Inc.
• Clovis Global Academy
• Clovis Hybrid Autism Program (Chaps)
• Clovis II Bayrakdarian, D.M.D., a Professional Corporation (Unique Orthodontics)
• Clovis Medical Group Inc
• Clovis Pediatric Group

• Preferred Provider Organization in Clovis, CA
• Providers in Clovis, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.