Thi Phan Dental Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

40484 Issued in CA

Legal business name

THI PHAN DENTAL CORP

Doing business as

APPLE DENTAL

Practice address

1540 Fern St
San Diego, CA 92102-1536

Phone

(619) 236-9549

Fax

(619) 234-0311

NPI assigned

Sep 18, 2013

Organization subpart

No

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

Authorized official

Name

Thi Binh Phan, DDSNPI 1114050200

Title

President/Owner

Phone

(619) 236-9549

Specialties & licenses 1

Addresses

Other names 1

• APPLE DENTAL Doing business as

Locations

Practitioners 2

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

• Thi Binh Phan

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1114050200
  NPD (past) Authorized official
• Tin Maung Maung, D.D.S.

  • Dentist
  • San Diego, CA
  • NPI 1881789113
  NPD (past)

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1144656406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 FERN ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921021536",
            "telephone_number": "619-236-9549",
            "fax_number": "619-234-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 FERN ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921021536",
            "telephone_number": "619-236-9549",
            "fax_number": "619-234-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THI PHAN DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-18",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "THI",
        "authorized_official_middle_name": "BINH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "619-236-9549",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "40484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APPLE DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Therastaff LLC
• Theresa a. Cyr, DO, Medical Corporation
• Theresa Baxter L.Ac.
• Theresa Hessling Charter School Project
• Charles Theuer, MD
• Sirena S Thi, PHARMD
• Laura Thibault
• Matthew Alexander Thibeault
• Lauren Thibodeau, MFT
• Mary Susan Thickstun, PH.D., LCSW

• Dental Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; 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.