Active NPI
Thurein Soe
- Dentist
- Cupertino, CA
National Provider Identifier
1194479832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 105420
- Practice address
- 20556 Scofield Dr
Cupertino, CA 95014-2921 - Phone
- (510) 432-5520
- NPI assigned
- Feb 11, 2022
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 105420 | CA | Primary |
Addresses
Primary practice location
20556 Scofield Dr
Cupertino, CA 95014-2921
Mailing address
20556 Scofield Dr
Cupertino, CA 95014-2921
Phone (510) 432-5520
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 |
|---|---|---|---|
| 105420 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1194479832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20556 SCOFIELD DR",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950142921",
"telephone_number": "510-432-5520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20556 SCOFIELD DR",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950142921",
"telephone_number": "510-432-5520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOE",
"first_name": "THUREIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-11",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "105420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cupertino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.