DR. JACOB H. PHAM D.D.S.
NPI 1518958248
Dentist in Roanoke, VA

Q: What is Jacob Pham's NPI number?

The NPI number for Jacob Pham is 1518958248. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Q: What is Jacob Pham's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Pham was last updated on February 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since November 02, 2005PECOS Enrolled

6212 PETERS CREEK RD, ROANOKE, VA 24019(540) 563-0519(540) 563-1184 Get Directions Write a Review

NPPES record last updated: February 22, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Dr. Jacob H. Pham D.d.s. NPPES

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

DR. JACOB H. PHAM D.D.S. (NPI 1518958248) is an individual dentist in Roanoke, Virginia, licensed in Virginia (0401413420) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518958248

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JACOB H. PHAMCredential: D.D.S.

Location Address6212 PETERS CREEK RDRoanoke, VA 24019-4026

Mailing Address6212 Peters Creek RdRoanoke, VA 24019-4026 · (540) 563-0519 · Fax (540) 563-1184

Phone(540) 563-0519

Fax(540) 563-1184

Sole ProprietorYes

Enumeration DateNovember 2, 2005

Last NPPES UpdateFebruary 22, 2016

✔ NPI 1518958248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in VA · 0401413420

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 0401413420 (VA)

6212 PETERS CREEK RD, Roanoke, VA 24019

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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. Jacob H. Pham D.d.s. 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 24019 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

Other Providers at the Same Location NPPES

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

HAYWOOD MERRITT SPARGER JR. D.D.S.

Dentist (General Practice)

6212 PETERS CREEK RD
ROANOKE, VA 24019

Roanoke County (540) 563-0519

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 Jacob Pham's NPI number?

The NPI number for Jacob Pham is 1518958248. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Jacob Pham located?

Jacob Pham practices at 6212 Peters Creek Rd, Roanoke, VA 24019. The listed phone number is (540) 563-0519.

What is Jacob Pham's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jacob Pham enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jacob Pham was last updated on February 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.