HAO PHAM (NPI# 1922476498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922476498 |
| Entity Type | Individual |
| Full Name | HAO PHAM |
| Credential | DDS |
| Practice Address |
300 W Broadway Ste 30 Council Bluffs IA 51503-9053 |
| Mailing Address |
3219 Rawhide Drive Lincoln NE 68507-0863 |
| Practice Telephone | 7122569639 |
| Mailing Telephone | 4028407009 |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2015-09-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6794 | NE | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902122922 | Hao Duy Pham | Surgery | 6719 Governor Gc Peery Hwy Ste 2600, Richlands, VA 24641 | 2010-04-15 |
| 1720311160 | Hao Thi Pham | Registered Nurse | 5602 Granite Falls Ln, Missouri City, TX 77459-5093 | 2009-09-17 |
| 1932554508 | Hao Pham | Counselor | 11895 Sw Greenburg Rd, Tigard, OR 97223 | 2016-05-02 |
| Street Address |
300 W BROADWAY STE 30 |
| City | COUNCIL BLUFFS |
| State | IA |
| Zip Code | 51503-9053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770008575 | Ian Welch Compton | Dentist | 300 W Broadway Ste 30, Council Bluffs, IA 51503-9053 | 2017-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654377 | Michael Menendez | Counselor | N 6th Street and Ave E, Council Bluffs, IA 51503 | 2020-09-16 |
| 1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
| 1699131797 | Bluffs Pain Management LLC | Pain Medicine | 201 Ridge St Suite 102, Council Bluffs, IA 51503 | 2016-01-06 |
| 1811246903 | Georgia Ann Boeck | Hearing Instrument Specialist | 900 Woodbury Avenue, Suite 8b, Council Bluffs, IA 51503 | 2012-09-05 |
| 1790055796 | Wendy Jane'e Zenor | Licensed Practical Nurse | 1525 Rolling Hills Loop, Council Bluffs, IA 51503 | 2012-01-06 |
| 1649579186 | Mohana K Loya | Internal Medicine | 933 E Pierce St., Council Bluffs, IA 51503 | 2011-03-23 |
| 1568761369 | Brenda Kay Sennett | Occupational Therapist | 1600 Mcpherson Avenue, Council Bluffs, IA 51503 | 2011-03-18 |
| 1710129671 | Heart Lung and Vascular Surgery PC | Specialist | 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 | 2009-03-24 |
| Find all providers in zip 51503 | ||||
| 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 |
|---|---|---|---|---|
| 1487175634 | Johnathon O'brien | Dentist | 320 Mckenzie Ave Ste 101, Council Bluffs, IA 51503-1002 | 2017-06-28 |
| 1982981692 | Michael Gritzuk | Dentist | 3617 Denmark Dr Ste 100, Council Bluffs, IA 51501-7756 | 2011-11-09 |
| 1841574886 | Western Iowa Dental Group, LLC | Dentist | 1509 Avenue G, Council Bluffs, IA 51501-2516 | 2011-10-10 |
| 1639364383 | Tony Douglas Stuntz | Dentist | 179 Bennett Ave, Council Bluffs, IA 51503-5206 | 2007-09-06 |
| 1689886574 | Stop Decay PC | Dentist | 2800 Twin City Plaza, Council Bluffs, IA 51503 | 2007-05-04 |
| 1518040930 | Richard James Ronk Jr. | Dentist | 200 S 29th St, Council Bluffs, IA 51501-3449 | 2006-10-21 |
| 1902914757 | Tooth Emporium Inc | Dentist | 179 Bennett Avenue, Council Bluffs, IA 51503-5206 | 2006-08-29 |
| 1851311781 | Kimberly Steckler | Dentist | 114 1/2 S 6th St, Council Bluffs, IA 51501-4234 | 2006-07-21 |
| 1063441384 | Gary Alfred Smith | Dentist | 2612 W Broadway, Council Bluffs, IA 51501-3510 | 2006-06-30 |
| 1366417016 | David Lee Jones | Dentist | 1026 Woodbury Ave, Suite 30, Council Bluffs, IA 51503-7915 | 2006-02-17 |
| Find all providers in COUNCIL BLUFFS | ||||
| City | COUNCIL BLUFFS |
| Zip Code | 51503 |
Please comment or provide details below to improve the information on HAO PHAM.
| 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.