NPIMap

Organization Active NPI

Vicheth Thay, DDS, Inc.

  • Dentist
  • Northridge, CA
National Provider Identifier
1124224779
Registry record updated Jul 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
46531 Issued in CA
Legal business name
VICHETH THAY, DDS, INC.
Practice address
18250 Roscoe Blvd Ste 230
Northridge, CA 91325-4269
Phone
(818) 885-1981
Fax
(818) 885-1937
NPI assigned
Jun 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2008

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

Authorized official

Name
Dr. Vicheth Thay, D.D.S.NPI 1700081528
Title
Dentist
Phone
(818) 885-1981

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 46531 CA Primary

Addresses

Primary practice location

18250 Roscoe Blvd Ste 230
Northridge, CA 91325-4269

Mailing address

18250 Roscoe Blvd Ste 230
Northridge, CA 91325-4269
Phone (818) 885-1981

National Provider Directory

National Provider Directory

Locations

18250 Roscoe Blvd
Ste 230
Northridge, CA 91325
Phone (818) 885-1981

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215216000000",
    "number": "1124224779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18250 ROSCOE BLVD STE 230",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254269",
            "telephone_number": "818-885-1981",
            "fax_number": "818-885-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18250 ROSCOE BLVD STE 230",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254269",
            "telephone_number": "818-885-1981",
            "fax_number": "818-885-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICHETH THAY, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2008-07-05",
        "status": "A",
        "authorized_official_last_name": "THAY",
        "authorized_official_first_name": "VICHETH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "818-885-1981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "46531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2008; 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.