Chau M Pham, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

62492 Issued in CA

Practice address

2055 N Alma School Rd Ste 22
Chandler, AZ 85224-2866

Phone

(480) 273-8827

NPI assigned

Jun 14, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Phamous Smiles Family Dentistry LLC

  • General Practice Dentistry
  • Chandler, AZ
  • NPI 1003375965
  NPD Authorized official
• Phamous Smiles of Chandler PLLC

  • Dentist
  • Chandler, AZ
  • NPI 1487186482
  NPD Authorized official

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1992143713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2136 E LA VIEVE LN",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843542",
            "telephone_number": "480-216-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 N ALMA SCHOOL RD STE 22",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242866",
            "telephone_number": "480-273-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "CHAU",
        "middle_name": "M",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-14",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D008726",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Brooke Petty, RRT
• Chakorion Pfeiffer
• Garrick Michael Pfeiffer, DMD
• Christine Lynn Pfleiger, MA-SLP
• PGKG LLC
• Lan Pham
• Loc Pham, O.D.
• Paulina Pham, DMD
• Phuong Pham
• Phamous Smiles Family Dentistry LLC

• Dentist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.