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DR. CHARLES MINH PHAM D.M.D.
NPI 1699124982
Dentist - Periodontics in Johnston, RI

Active since June 07, 2016PECOS Enrolled
1740 ATWOOD AVE, JOHNSTON, RI 02919(401) 233-9800 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2025, Jun 18, 2019, Sep 17, 2016 (3 updates tracked since 2016).

About Dr. Charles Minh Pham D.m.d. NPPES

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

DR. CHARLES MINH PHAM D.M.D. (NPI 1699124982) is an individual periodontics provider in Johnston, Rhode Island, licensed in Rhode Island (DEN03441) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699124982
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. CHARLES MINH PHAMCredential: D.M.D.
Location Address1740 ATWOOD AVEJohnston, RI 02919-3214
Mailing Address1740 Atwood AveJohnston, RI 02919-3214 · (401) 233-9800
Phone(401) 233-9800
Sole ProprietorNo
Enumeration DateJune 7, 2016
Last NPPES UpdateNovember 6, 20253 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
✔ NPI 1699124982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in RI · DEN03441
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1740 ATWOOD AVE, Johnston, RI 02919
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.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. Charles Minh Pham D.m.d. 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 02919 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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 3

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

RHODE ISLAND PERIODONTICS
Dentist (Periodontics)
1740 ATWOOD AVE
JOHNSTON, RI 02919
Providence County (401) 233-9800
DR. EDWARD S KATZ DDS
Dentist (Periodontics)
1740 ATWOOD AVE
JOHNSTON, RI 02919
Providence County (401) 233-9800
DR. GREGORY S THEBERGE DDS
Dentist (Periodontics)
1740 ATWOOD AVE
JOHNSTON, RI 02919
Providence County (401) 233-9800

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 Charles Pham's NPI number?

The NPI number for Charles Pham is 1699124982. It was assigned to this individual provider in the NPPES registry on June 7, 2016.

Where is Charles Pham located?

Charles Pham practices at 1740 Atwood Ave, Johnston, RI 02919. The listed phone number is (401) 233-9800.

What is Charles Pham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Charles Pham enrolled in Medicare?

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

What insurance does Charles Pham accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Charles 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 Charles Pham was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.