DR. ANDREW QUANG PHAM DDS
NPI 1366996092
Dentist - General Practice in Fairfax, VA

Active since August 11, 2016PECOS Enrolled
3930 WALNUT ST STE 210, FAIRFAX, VA 22030(703) 935-8699 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 26, 2021, Aug 11, 2016 (2 updates tracked since 2016).

About Dr. Andrew Quang Pham Dds NPPES

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

DR. ANDREW QUANG PHAM DDS (NPI 1366996092) is an individual general practice provider in Fairfax, Virginia, licensed in Virginia (0401415281) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366996092
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ANDREW QUANG PHAMCredential: DDS
Location Address3930 WALNUT ST STE 210Fairfax, VA 22030-4738
Mailing Address10779 Crest StFairfax, VA 22030-5171 · (571) 224-8791
Sole ProprietorNo
Enumeration DateAugust 11, 2016
Last NPPES UpdateMarch 26, 20212 updates tracked since enumeration
NPPES CertifiedMarch 26, 2021
NPI 1366996092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in VA · 0401415281 Licensed in TX · 31912
Definition
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.
3930 WALNUT ST STE 210, Fairfax, VA 22030

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Andrew Quang Pham Dds 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 22030 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

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 Andrew Pham's NPI number?

The NPI number for Andrew Pham is 1366996092. It was assigned to this individual provider in the NPPES registry on August 11, 2016.

Where is Andrew Pham located?

Andrew Pham practices at 3930 Walnut St Ste 210, Fairfax, VA 22030. The listed phone number is (703) 935-8699.

What is Andrew Pham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Andrew Pham enrolled in Medicare?

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

What insurance does Andrew Pham accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Andrew Pham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrew Pham was last updated on March 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.