DR. BENNIE VAN PHAM D.D.S.
NPI 1891931762
Dentist in Fountain Valley, CA

Active since December 26, 2008PECOS Enrolled
18426 BROOKHURST ST STE 101, FOUNTAIN VALLEY, CA 92708(714) 965-5255 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bennie Van Pham D.d.s. NPPES

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

DR. BENNIE VAN PHAM D.D.S. (NPI 1891931762) is an individual dentist in Fountain Valley, California, licensed in California (58021) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891931762
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. BENNIE VAN PHAMCredential: D.D.S.
Location Address18426 BROOKHURST ST STE 101Fountain Valley, CA 92708-6777
Mailing Address8981 Acacia AveGarden Grove, CA 92841-4613
Sole ProprietorYes
Enumeration DateDecember 26, 2008
Last NPPES UpdateDecember 11, 2019
NPI 1891931762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in CA · 58021 Licensed in NY · 054267
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.
18426 BROOKHURST ST STE 101, Fountain Valley, CA 92708

Other Identifiers 2

Other054267NY · Ny State Dental License
Other58021CA · Ca State Dental License

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. Bennie Van 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 92708 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Dentist (General Practice)
18426 BROOKHURST ST STE 101
FOUNTAIN VALLEY, CA 92708

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 Bennie Pham's NPI number?

The NPI number for Bennie Pham is 1891931762. It was assigned to this individual provider in the NPPES registry on December 26, 2008.

Where is Bennie Pham located?

Bennie Pham practices at 18426 Brookhurst St Ste 101, Fountain Valley, CA 92708. The listed phone number is (714) 965-5255.

What is Bennie Pham's specialty?

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

Is Bennie Pham enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Bennie Pham was last updated on December 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.