DR. JOHN PHAM (NPI# 1114165966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114165966 |
| Entity Type | Individual |
| Full Name | DR. JOHN PHAM |
| Credential | D.D.S. |
| Practice Address |
1515 Nw Louisiana Ave Chehalis WA 98532-1748 |
| Practice Telephone | 3607406212 |
| Practice Fax Number | 3607406222 |
| Mailing Telephone | 3607406212 |
| Mailing Fax Number | 3607406222 |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2009-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | D6843 | OR | Dental Providers |
| Y | 122300000X | Dentist | DE00008608 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194106039 | John Pham | Internal Medicine | 9426 116th Ave Ne, Kirkland, WA 98033 | 2015-06-16 |
| 1750639993 | John Paul Pham | Family Medicine | 143 N Main St, 2nd Fl, Milpitas, CA 95035 | 2012-08-20 |
| 1912061623 | John Tuan Pham | Family Medicine | 5909 Se 92nd Ave, Portland, OR 97266-4642 | 2006-12-20 |
| 1992726616 | John D Pham | Chiropractor | 20928 N John Wayne Pkwy, Suite C-4, Maricopa, AZ 85239-2922 | 2006-07-21 |
| 1497395909 | John Quoc Pham | Behavior Technician | 17732 Beach Blvd, Huntington Beach, CA 92647-6809 | 2020-01-13 |
| 1134636624 | John Pham | Pharmacist | 1189 Potrero Ave, San Francisco, CA 94110-3520 | 2018-01-05 |
| 1700307402 | John Pham | Pharmacy | 2701 S Bristol St, Santa Ana, CA 92704-6201 | 2017-07-03 |
| 1982144697 | John Pham | Pediatrics | 4650 W Sunset Blvd # 68, Los Angeles, CA 90027-6062 | 2017-02-28 |
| 1063876894 | John L Pham | Internal Medicine | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2016-04-07 |
| 1497117238 | John Van Pham | Anesthesiology | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2016-03-22 |
| Street Address |
1515 NW LOUISIANA AVE |
| City | CHEHALIS |
| State | WA |
| Zip Code | 98532-1748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538243480 | John Pham Dds PC | Dentist | 1515 Nw Louisiana Ave, Town Center Dental, Chehalis, WA 98532 | 2006-10-25 |
| 1104052760 | Mai Huynh | Dentist | 1515 Nw Louisiana Ave, Chehalis, WA 98532-1748 | 2009-06-09 |
| 1164687695 | Amrinder P Bahia | Dentist | 1515 Nw Louisiana Ave, Chehalis, WA 98532-1748 | 2008-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275140832 | Joshua Russell Wachter | Registered Nurse | 275 W. Vine St., Napavine, WA 98532 | 2020-09-28 |
| 1891339123 | Dara Casey | Technician | 271-1 Romerman Rd, Chehalis, WA 98532 | 2019-10-30 |
| 1265997704 | April D Bacongco | Counselor | 500 Se Washington St, Chehalis, WA 98532 | 2019-02-08 |
| 1235610155 | Alyssa Dawn Ware | Physical Therapist | 1441 Kresky Ave, Chehalis, WA 98532 | 2018-08-28 |
| 1609365238 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 500 Se Adams Ave, Chehalis, WA 98532 | 2018-05-09 |
| 1043709314 | Kevin Bumatay Duran | Family Medicine | 931 S. Market Blvd, Chehalis, WA 98532 | 2018-05-02 |
| 1164922324 | William I. Mcmillan | Counselor | 121 Nw Chehalis St., Chehalis, WA 98532 | 2018-02-14 |
| 1285155366 | Great Rivers Behavioral Health Organization | Community/Behavioral Health | 57 W Main Street, Suite 260, Chehalis, WA 98532 | 2017-06-29 |
| 1396273637 | Misty Anne Glenn | Counselor | 121 Nw Chehalis Ave, Chehalis, WA 98532 | 2017-05-31 |
| 1841726221 | Dodi Forgione | Counselor | 2401 Ne Kresky Ave Ste D, Chehalis, WA 98532 | 2017-05-04 |
| Find all providers in zip 98532 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780130625 | Dr.e.fletcher,llc | Dentist | 256 Northwest Park Street, Chehalis, WA 98532 | 2016-08-31 |
| 1588773428 | Richard R Walker Dds Ps | Dentist | 1292 S Market Blvd, Chehalis, WA 98532 | 2006-08-30 |
| 1992814768 | Michael John Leclair | Dentist | 1299 Bishop Rd Ste A, Chehalis, WA 98532 | 2006-08-29 |
| 1629014568 | James Theodore Vento | Dentist | 500 Se Washington Ave, Chehalis, WA 98532-3058 | 2006-06-21 |
| 1275095630 | Ontario O'shawn Ward | Dentist | 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 | 2019-04-04 |
| 1124540919 | Andrew Jay Cole | Dentist | 388 Sw 13th St, Chehalis, WA 98532-3609 | 2017-07-12 |
| 1235676008 | Peter Louis Wagner | Dentist | 1292 S Market Blvd, Chehalis, WA 98532-3645 | 2017-01-31 |
| 1396197307 | Chelsea E Keck | Dentist | 388 Sw 13th St, Chehalis, WA 98532-3609 | 2016-07-01 |
| 1700241734 | R.c. Downing Dds Ps | Dentist | 68 Sw 13th St, Chehalis, WA 98532-3627 | 2015-12-17 |
| 1568879690 | Daniel Henricksen | Dentist | 1292 S Market Blvd, Chehalis, WA 98532-3645 | 2014-07-21 |
| Find all providers in CHEHALIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.