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TRANG PHAM DMD
NPI 1144925678
Dentist - Pediatric Dentistry in Elk Grove, CA

Active since April 03, 2023PECOS Enrolled
9630 BRUCEVILLE RD STE 102, ELK GROVE, CA 95757(916) 714-2543 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2025, Jun 26, 2025, Apr 3, 2023 (3 updates tracked since 2023).

About Trang Pham Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRANG PHAM DMD (NPI 1144925678) is an individual pediatric dentistry provider in Elk Grove, California, licensed in California (DDS111388) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Folsom.

NPPES Registry Identity

NPI1144925678
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameTRANG PHAMCredential: DMD
Location Address9630 BRUCEVILLE RD STE 102Elk Grove, CA 95757-5512
Mailing Address9630 Bruceville Rd Ste 102Elk Grove, CA 95757-5512 · (916) 714-2543
Phone(916) 714-2543
Sole ProprietorYes
Enumeration DateApril 3, 2023
Last NPPES UpdateJuly 7, 20253 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
✔ NPI 1144925678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CA · DDS111388
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
9630 BRUCEVILLE RD STE 102, Elk Grove, CA 95757
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Secondary Practice Location 1

Location 12405 Iron Point Rd Ste 100Folsom, CA 95630-8731 · Phone (916) 983-5437

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Trang Pham Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95757 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIN AND JOHAL DENTAL CORPORATION
Dentist
9630 BRUCEVILLE RD STE 102
ELK GROVE, CA 95757
Sacramento County (916) 714-2543

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 Trang Pham's NPI number?

The NPI number for Trang Pham is 1144925678. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Trang Pham located?

Trang Pham practices at 9630 Bruceville Rd Ste 102, Elk Grove, CA 95757. The listed phone number is (916) 714-2543.

What is Trang Pham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Trang Pham enrolled in Medicare?

Yes. Trang Pham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Trang Pham was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.