DR. PHUNG KIM PHAM (NPI# 1265588586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265588586 |
| Entity Type | Individual |
| Full Name | DR. PHUNG KIM PHAM |
| Credential | DDS |
| Practice Address |
4700 42nd Ave Sw Suite 460 Seattle WA 98116-4591 |
| Mailing Address |
1400 Lake Washington Blvd N E404 Renton WA 98056-2564 |
| Practice Telephone | 2067674851 |
| Practice Fax Number | 2067640928 |
| Mailing Telephone | 4252551040 |
| Mailing Fax Number | 4252551050 |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
50508 | CA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE00010493 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609196989 | Phung Pham | Anesthesiology | 130 S University Dr Ste D, Plantation, FL 33324-3347 | 2010-06-09 |
| 1093352007 | Phung Kim Pham | Specialist/Technologist | 4400 University Dr, Fairfax, VA 22030-4422 | 2019-12-09 |
| 1609436138 | Phung Kim Pham | Nurse Practitioner | 13480 Veterans Memorial Dr, Houston, TX 77014-1696 | 2019-06-17 |
| 1487870457 | Phung Kim Pham | Dentist | 1727 N Fresno St, Fresno, CA 93703-3031 | 2007-04-18 |
| Street Address |
4700 42ND AVE SW SUITE 460 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98116-4591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295755957 | Kari Dianne Chellis | Dentist | 4700 42nd Ave Sw, Suite # 555, Seattle, WA 98116-4583 | 2006-07-19 |
| 1225688740 | Rebecca Rachelle Lunde | Physical Therapist | 4700 42nd Ave Sw, Seattle, WA 98116-4591 | 2019-09-17 |
| 1851819635 | Nitya Narayanan | Dentist | 4700 42nd Ave Sw, Seattle, WA 98116-4591 | 2017-08-31 |
| 1023562907 | Christopher Wagner | Dentist | 4700 42nd Ave Sw, Suite 460, Seattle, WA 98116-4591 | 2016-08-09 |
| 1619357514 | Kari D Chellis Rdh Dds Ps | Dentist | 4700 42nd Ave Sw, Ste 555, Seattle, WA 98116-4591 | 2015-06-05 |
| 1588080261 | Valorie Johnson | Behavioral Analyst | 4700 42nd Ave Sw, Suite 552, Seattle, WA 98116-4591 | 2014-03-05 |
| 1407104649 | Nw Communication Connections | Speech-Language Pathologist | 4700 42nd Ave Sw, Ste 447, Seattle, WA 98116-4591 | 2012-08-20 |
| 1467717884 | Laura Verellen Jewett | Physical Therapist | 4700 42nd Ave Sw, #510, Seattle, WA 98116-4591 | 2012-07-11 |
| 1134379647 | Colin H Naughton | Counselor | 4700 42nd Ave Sw, Suite 480, Seattle, WA 98116-4591 | 2008-09-22 |
| 1528274396 | Sheila Welsh Lyon | Counselor | 4700 42nd Ave Sw, Suite 480, Seattle, WA 98116-4591 | 2007-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992229702 | Franciscan City Urgent Care Services, Ps | Clinic/Center | 3900 Sw Alaska St, Seattle, WA 98116 | 2017-08-02 |
| 1538692280 | Stacey Devenney | Counselor | 3026 52nd Ave Sw, Seattle, WA 98116 | 2017-04-10 |
| 1336698786 | Andrew Creed Gray | Physical Therapist | 3727 California Ave. Sw, Suite 1-a, Seattle, WA 98116 | 2016-09-27 |
| 1295281038 | Jenny Monfore | Mechanotherapist | 6633 Sw Admiral Way, Seattle, WA 98116 | 2016-08-31 |
| 1043666175 | Gretchen Gerhardt | Counselor | 3272 California Ave Sw Ste 300, Seattle, WA 98116 | 2016-05-07 |
| 1609274307 | Lekea Sharon Sarah Itero | Counselor | 1116 Summit Avenue Therapeutic Health Services, Seattle, WA 98116 | 2014-12-11 |
| 1306275284 | Elizabeth Davis | Dentist | 14212 Ambaum Blvd. Sw, Suite 100, Burien, WA 98116 | 2013-11-01 |
| 1689912859 | Seattle Pain and Wellness Institute | Clinic/Center | 4701 41st Ave., Sw, Suite 120, Seattle, WA 98116 | 2013-01-23 |
| 1851637953 | Chrissandra Ann Snider | Massage Therapist | 3258 California Ave Sw Ste D, Seattle, WA 98116 | 2012-12-17 |
| 1528302908 | Samara K Hoag | Registered Nurse | 3429 - 45th Ave Sw, Madison Middle School, Seattle, WA 98116 | 2012-11-26 |
| Find all providers in zip 98116 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789082 | Kim & Cervantes-kim Dds Pllc | Dentist | 945 Elliott Ave W Ste 212, Seattle, WA 98119-3645 | 2020-10-27 |
| 1790383867 | Washington Dental Corporation, PC | Dentist | 620 1st Ave N, Seattle, WA 98109-4001 | 2020-10-12 |
| 1275140535 | Byeonguk Kang | Dentist | 1959 Ne Pacific St Rm B403, Seattle, WA 98195-0001 | 2020-09-29 |
| 1013524743 | David Park | Dentist | 810 3rd Ave Ste 200, Seattle, WA 98104-1614 | 2020-09-27 |
| 1073138558 | Mijin Choi | Dentist | 285 8th Ave N Apt 204, Seattle, WA 98109-5173 | 2020-06-10 |
| 1578020632 | Abu & Del Rosario, Pllc | Dentist | 1220 Howell St Ste 110, Seattle, WA 98101-1407 | 2019-02-25 |
| 1649755505 | William Lowrey | Dentist | 836 Ne 67th St Apt 712, Seattle, WA 98115-5882 | 2018-09-26 |
| 1215419809 | Gregory Arlen Maggass Jr. | Dentist | 4222 7th Ave Ne Apt 8, Seattle, WA 98105-6086 | 2018-08-30 |
| 1295214757 | Suzanne S Hall | Dentist | 515 N 138th St, Seattle, WA 98133-7420 | 2018-08-07 |
| 1871088195 | Hanbit Chi, Dds, Ps | Dentist | 1331 Harbor Ave Sw Ste 100, Seattle, WA 98116-1776 | 2018-06-28 |
| Find all providers in SEATTLE | ||||
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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.