DR. CHANDRA THANH-CHUONG PHAM (NPI# 1619122751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619122751 |
| Entity Type | Individual |
| Full Name | DR. CHANDRA THANH-CHUONG PHAM |
| Credential | D.D.S |
| Practice Address |
3270 Landess Ave San Jose CA 95132-1230 |
| Mailing Address |
315 Fairhaven Blvd Woodbury NY 11797-1629 |
| Practice Telephone | 4085655296 |
| Mailing Telephone | 4085655296 |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2014-11-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
63201 | CA | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
054700 | NY | Dental Providers |
| Street Address |
3270 LANDESS AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95132-1230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902300304 | Pamela Judith Reyes | Technician, Other | 2716 Longford Drive, San Jose, CA 95132 | 2018-03-20 |
| 1972990778 | David Thai | Dentist | 2861 Donizetti Ct., San Jose, CA 95132 | 2015-04-20 |
| 1174964092 | Brandi Marche Brooks | Psychologist | 1866 Half Pence Way, San Jose, CA 95132 | 2013-07-08 |
| 1023314325 | Al R Abad Dental Corporation | Dentist | 2664 Berryessa Road, Suite 212, San Jose, CA 95132 | 2011-02-03 |
| 1134355530 | Hang Thuy Tran | Student in an Organized Health Care Education/Training Program | 3314 Hostetter Road, San Jose, CA 95132 | 2009-06-01 |
| 1144408121 | Ruth Elaine Bristol | Marriage & Family Therapist | 3435 Birchwood, San Jose, CA 95132 | 2008-02-01 |
| 1033328398 | Victoria Bethina Andrada | Dentist | 2542 Berryessa Road, San Jose, CA 95132 | 2007-05-22 |
| 1417179540 | Albert G Seid Dds & Hubert G Seid Dds A Professional Corpation | Dentist | 1239 Piedmont Road, San Jose, CA 95132 | 2007-05-02 |
| 1336269554 | Fernando T Vilale | Dentist | 1333 Piedmont Rd#103, San Jose, CA 95132 | 2007-03-30 |
| 1669513172 | Roberto V Espejo Jr Dds Inc | Dentist | 3278 Noble Ave, San Jose, CA 95132 | 2007-02-08 |
| Find all providers in zip 95132 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588281141 | Guneet Kaur-kohli Kainth | Dentist | 1087 Quail Creek Cir, San Jose, CA 95120-4166 | 2020-06-30 |
| 1992264295 | Karina Carrou Lee | Dentist | 1095 E Brokaw Rd Ste 40, San Jose, CA 95131-2321 | 2019-03-16 |
| 1447733407 | Jonathan Michael Drew | Dentist | 3240 Finch Dr, San Jose, CA 95117-3512 | 2018-09-14 |
| 1942662457 | Phan, Rawlins & Lyons Dds Inc | Dentist | 6942 Almaden Expy # 11, San Jose, CA 95120-3201 | 2016-03-23 |
| 1902248966 | Jason Chun-sheng Hsieh | Dentist | 1040 Avondale St, San Jose, CA 95129-2801 | 2013-07-19 |
| 1699034017 | Eric Phelps, Dds, Ms and Jason Cohen, Dds, N | Dentist | 2075 Forest Ave., Ste. 2, San Jose, CA 95128-4812 | 2012-05-04 |
| 1093091472 | Baokhanh Nguyen | Dentist | 827 Blossom Hill Rd Ste W4, San Jose, CA 95123-2701 | 2011-10-28 |
| 1023329091 | Michael L Stepovich | Dentist | 4110 Moorpark Ave Ste G, San Jose, CA 95117-1712 | 2010-06-24 |
| 1598996035 | Linda Huynh | Dentist | 5595 Winfield Blvd Ste 206, San Jose, CA 95123-1220 | 2009-07-31 |
| 1316191893 | Christopher Corsa | Dentist | 4010 Moorpark Ave Ste 105, San Jose, CA 95117 | 2008-11-10 |
| Find all providers in SAN JOSE | ||||
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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.