Phianh Ma

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39466 Issued in TX

Practice address

4125 Richmond Pkwy # 110
Richmond, TX 77469-2508

Phone

(281) 560-3001

NPI assigned

Feb 21, 2022

Sex

Female

Sole proprietor

Yes

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

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.

• Roseman University of Health Sciences, a Nevada Non-Profit Corp

  • Dentist
  • South Jordan, UT
  • NPI 1417363821

  Single Specialty

  NPD

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1992450688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9757 KATY FWY APT 2310",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770243055",
            "telephone_number": "832-618-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 RICHMOND PKWY # 110",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774692508",
            "telephone_number": "281-560-3001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10894 S River Front Pkwy",
            "address_purpose": "LOCATION",
            "city": "South Jordan",
            "state": "UT",
            "postal_code": "840955609",
            "country_code": "US",
            "telephone_number": "801-878-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MA",
        "first_name": "PHIANH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• An Tieu Ma
• Segujja Maaso
• Jobelle Macas
• Machaseh Refuge Services LLC
• Gertrude Chiti Mackall, NURSE
• Macoredex Worldwide LLC

• General Practice Dentistry in Richmond, TX
• Providers in Richmond, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.