DR. HIEU PHAM (NPI# 1013458942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013458942 |
| Entity Type | Individual |
| Full Name | DR. HIEU PHAM |
| Credential | DDS |
| Practice Address |
825 E Rundberg Ln Ste A1 Austin TX 78753-4809 |
| Mailing Address |
1821 Camas Dr Austin TX 78728-5747 |
| Practice Telephone | 5128370200 |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2020-01-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
060465 | NY | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
35498 | TX | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
DN1857851 | MA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 102 Pearl St, Braintree, MA 02184 | 7813563030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649775925 | Hieu Pham | Student in an Organized Health Care Education/Training Program | 4301 West Markham St., Slot 602, Attn: Austin, Little Rock, AR 72205 | 2018-03-28 |
| 1245597731 | Hieu D Pham | Pharmacist | 105 Carden Pl Apt G, Mebane, NC 27302-6039 | 2012-04-20 |
| 1003142472 | Hieu Doan Pham | Counselor | 4000 W Metropolitan Dr Ste 405, Orange, CA 92868-3504 | 2009-10-20 |
| 1225067721 | Hieu T. Pham | Anesthesiology | 5010 Crenshaw Rd, Ste. #130, Pasadena, TX 77505-3047 | 2006-06-30 |
| 1700318839 | Hieu Pham | Family Medicine | 550 16th Ave Ste 100, Seattle, WA 98122-5636 | 2017-03-29 |
| 1033593652 | Hieu Pham | Dentist | 12596 Se Stark St, Bldg N, Portland, OR 97233-1056 | 2015-07-14 |
| 1396170395 | Hieu T Pham | Pharmacist | 710 Lawrence Expy, Santa Clara, CA 95051-5173 | 2013-09-09 |
| 1114215647 | Hieu Pham | Pharmacist | 4142 Pontchartrain Dr, Slidell, LA 70458-5138 | 2011-07-19 |
| 1972560043 | Hieu D Pham | Oral & Maxillofacial Surgery | 707 Parnassus Ave, San Francisco, CA 94143-2210 | 2006-05-01 |
| 1356323281 | Hieu Hong Pham | Anesthesiology | 1265 Union Ave, Memphis, TN 38104-3415 | 2005-11-16 |
| Street Address |
825 E RUNDBERG LN STE A1 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78753-4809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649327941 | Arcil | Clinic/Center | 825 E Rundberg Ln Ste A1, Austin, TX 78753-4809 | 2007-01-05 |
| 1275143182 | Saeid Abbasiyan | Dentist | 825 E Rundberg Ln Ste A1, Austin, TX 78753-4809 | 2020-08-05 |
| 1376152165 | Deep Sedation P.C. | Dentist | 825 E Rundberg Ln Ste A1, Austin, TX 78753-4809 | 2020-07-28 |
| 1669033452 | Minal Jain | Dentist | 825 E Rundberg Ln Ste A1, Austin, TX 78753-4809 | 2019-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306486659 | Gc Mental Wellness LLC | Counselor | 601 Farley Drive, Austin, TX 78753 | 2020-01-14 |
| 1871142992 | Virgie Lee Clement | Technician | 9704 Kendal Dr, 9704 Kendal Dr, Austin, TX 78753 | 2019-09-11 |
| 1851870190 | Mallory Lynch, Od, Pllc | Optometrist | 500 Canyon Ridge Dr. Suite L300, Austin, TX 78753 | 2018-08-08 |
| 1205320538 | Cameron Health Care LLC | Skilled Nursing Facility | 8324 Cameron Road, Austin, TX 78753 | 2018-06-20 |
| 1851883433 | Greater Austin Transportation Company | Taxi | 10630 Joseph Clayton Dr., Bldg A, Austin, TX 78753 | 2018-05-31 |
| 1093212151 | Enamel Dentistry Parmer Park, Pllc | Dentist | 1606 E. Parmer Ln, Suite #125, Austin, TX 78753 | 2018-04-06 |
| 1699270462 | Kelly Marcello | Nurse Practitioner | 11207 N Lamar Blvd Ste B, Austin, TX 78753 | 2018-03-26 |
| 1710481155 | Techridge Oaks, LLC | Assisted Living Facility | 400 E Yager Ln, Austin, TX 78753 | 2018-03-21 |
| 1013441286 | Mydental At Norwood Pllc | Dentist | 1045 Norwood Park Blvd, Suite 103, Austin, TX 78753 | 2017-04-14 |
| 1477908093 | Nicole Amy Kosich | Massage Therapist | 8740 N. Lamar Blvd., Austin, TX 78753 | 2016-05-02 |
| Find all providers in zip 78753 | ||||
| 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 |
|---|---|---|---|---|
| 1750980025 | Neda Hani Tabaei Zavareh | Dentist | 10900 Twisted Elm Dr, Austin, TX 78726-2369 | 2020-10-19 |
| 1356956882 | Pediatric Dental Professionals, Pllc | Dentist | 9015 Mountain Ridge Dr Ste 320, Austin, TX 78759-8488 | 2020-09-11 |
| 1043823727 | Dimple Sharma Pllc | Dentist | 8700 Menchaca Rd Ste 102, Austin, TX 78748-5372 | 2020-08-24 |
| 1295343036 | Nair & Pillai Serenity Dental, Pllc | Dentist | 8731 W Highway 71 Ste 102, Austin, TX 78735-8410 | 2020-07-17 |
| 1972130672 | Meredith Rae Mosier | Dentist | 421 W 3rd St Apt 811, Austin, TX 78701-4166 | 2020-03-24 |
| 1144863861 | Michelle Hedgecock Dds Pllc | Dentist | 1008 Mo Pac Circle Ste 100, Austin, TX 78746-6808 | 2019-10-25 |
| 1275174799 | Debora L Ayres | Dentist | 3900 Ranch Road 620 S Ste 106, Austin, TX 78738-6311 | 2019-10-06 |
| 1922649730 | Sarah Workman | Dentist | 11615 Angus Rd Ste 110, Austin, TX 78759-4006 | 2019-10-02 |
| 1568013761 | River Place Dental | Dentist | 7011 Ribelin Ranch Rd Ste 100, Austin, TX 78750-8585 | 2019-09-28 |
| 1508411372 | Abram Ortega | Dentist | 3909 N Ih 35 Ste A1, Austin, TX 78722-1529 | 2019-08-07 |
| Find all providers in AUSTIN | ||||
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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.