Active NPI
Thai Nong
- General Practice Dentistry
- Palm Coast, FL
National Provider Identifier
1184735540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN17327
- Practice address
- 114 Palm Coast Pkwy NE
Palm Coast, FL 32137-8241 - Phone
- (386) 446-5595
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN17327 | FL | Primary |
Addresses
Primary practice location
114 Palm Coast Pkwy NE
Palm Coast, FL 32137-8241
Mailing address
2502 N Rocky Point Dr
Suite 1000-Credentialing
Tampa, FL 33607-1421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN17327 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adam Diasti DDS & Associates P.C. | Past | Accepting new patients | |
| Oral Health Management PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Tampa, FL
- NPI 1366540270
-
- Dentist
- Hendersonville, TN
- NPI 1164523031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184735540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2502 N ROCKY POINT DR",
"address_2": "SUITE 1000-CREDENTIALING",
"city": "TAMPA",
"state": "FL",
"postal_code": "336071421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 PALM COAST PKWY NE",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321378241",
"telephone_number": "386-446-5595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NONG",
"first_name": "THAI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN17327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.