Sirin Thanasasavat, DMD PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SIRIN THANASASAVAT, DMD PA

Practice address

8010 Sunport Dr Ste 115
Orlando, FL 32809-7897

Phone

(407) 412-7887

Fax

(407) 930-2758

NPI assigned

Jun 29, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thida Thana

Title

Manager

Phone

(407) 542-8383

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Bright Smile Dental at Oviedo, Inc. Doing business as

Electronic endpoints 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Romy N. Jaraplasan, D.M.D.

  • General Practice Dentistry
  • Oviedo, FL
  • NPI 1770762882
  NPD (past)
• Sirin Thanasasavat, DMD

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1437347101
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1104311331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8010 SUNPORT DR STE 115",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097897",
            "telephone_number": "407-412-7887",
            "fax_number": "407-930-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 SUNPORT DR STE 115",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097897",
            "telephone_number": "407-412-7887",
            "fax_number": "407-930-2758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "945 City Plaza Way Apt 1051",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327654719",
            "country_code": "US",
            "telephone_number": "407-542-8383",
            "fax_number": "407-210-7323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIRIN THANASASAVAT, DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-29",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "THANA",
        "authorized_official_first_name": "THIDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-542-8383"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076828600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116520600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "8010 Sunport Dr Ste 115",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328097897",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "945 City Plaza Way Apt 1051",
            "city": "Oviedo",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327654719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bright Smile Dental at Oviedo, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ramchandra Siram, MD
• Amber Joy Siri, OTR/L
• Kris Siri, M.D.
• Nilukshan Ranil Sirigampola, PA-C, ATC
• Sirin Thanasasavat DMD PA
• Surendra Gopal Sirivolu, DDS MHA
• Amy Sirmans
• Ruthie Johnson Sirmans, ARNP
• Sawanda Sirmans, LPN
• Rawa Siro

• General Practice Dentistry in Orlando, FL
• Providers in Orlando, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.