NPIMap

Organization Active NPI

Hai Pham D.D.S, Inc

  • Dentist
  • Oakland, CA
National Provider Identifier
1982975215
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41031 Issued in CA
Legal business name
HAI PHAM D.D.S, INC
Practice address
650 International Blvd Ste a
Oakland, CA 94606-2987
Phone
(510) 836-4755
Fax
(510) 836-4715
NPI assigned
Jan 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Authorized official

Name
Dr. Hai Tan Pham, DDSNPI 1588684708
Title
President
Phone
(510) 836-4755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 41031 CA Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 43264 CA
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 59463 CA

Addresses

Primary practice location

650 International Blvd Ste a
Oakland, CA 94606-2987

Mailing address

650 International Blvd Ste a
Oakland, CA 94606-2987
Phone (510) 836-4755

Other identifiers 5

IdentifierTypeStateIssuer
56459OtherCACALIFORNIA DENTAL LICENSE #
63719OtherCACA LICENSE #
B41031OtherCADENTI-CAL
B59463OtherCADENTI-CAL
D43264OtherCADENTI-CAL

Other names 1

  • HP Dental Group Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1982975215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 INTERNATIONAL BLVD STE A",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946062987",
            "telephone_number": "510-836-4755",
            "fax_number": "510-836-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 INTERNATIONAL BLVD STE A",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946062987",
            "telephone_number": "510-836-4755",
            "fax_number": "510-836-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAI PHAM D.D.S, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "HAI",
        "authorized_official_middle_name": "TAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-836-4755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41031",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "43264",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "59463",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DENTAL LICENSE #",
            "identifier": "56459",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE #",
            "identifier": "63719",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "B41031",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "B59463",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL",
            "identifier": "D43264",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HP Dental Group",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "HP Dental Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.