KENNETH HUY DANG PHAM DMD
NPI 1144070004
Student in an Organized Health Care Education/Training Program in Boston, MA
About Kenneth Huy Dang Pham Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH HUY DANG PHAM DMD (NPI 1144070004) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kenneth Huy Dang Pham Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOSTON, MA 02118
BOSTON, MA 02118
BOSTON, MA 02118
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kenneth Pham's NPI number?
The NPI number for Kenneth Pham is 1144070004. It was assigned to this individual provider in the NPPES registry on March 25, 2024.
Where is Kenneth Pham located?
Kenneth Pham practices at 1 Boston Medical Ctr Pl Ste 1, Boston, MA 02118. The listed phone number is (617) 638-8000.
What is Kenneth Pham's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kenneth Pham enrolled in Medicare?
Yes. Kenneth Pham is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kenneth Pham was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kenneth Huy Dang Pham, DMD · NPI 1144070004
Student in an Organized Health Care Education/Training Program provider in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since March 25, 2024.
## Identity
- **NPI:** 1144070004 (Entity type: Individual)
- **Enumerated:** March 25, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1 BOSTON MEDICAL CTR PL STE 1, Boston, MA 02118-2999
- **Phone:** (617) 638-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** March 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1144070004) · Data from the CMS NPPES public registry.