Kim-Vy Chanh Pham, DMD, PLLC
Dentist in Las Vegas, NV. Individual provider (NPI-1).
NPI number1679014385
StatusActive
Last updated in NPPESMar 24, 2017
Details
- NPI
- 1679014385
- Entity type
- Individual (NPI-1)
- Name
- Kim-Vy Chanh Pham
- Credential
- DMD, PLLC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 14, 2017
- Last updated
- Mar 24, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 6793 | NV | Yes |
Practice location
1825 E Flamingo RdLas Vegas, NV 89119-5107
Phone 702-798-6684
Mailing address
1825 E Flamingo RdLas Vegas, NV 89119-5107
Phone 702-798-6684
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