Quynh-Thu Thai, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37372 Issued in CA

Practice address

855 S Main Ave
Suite J
Fallbrook, CA 92028-3351

Phone

(760) 723-8599

Fax

(760) 723-6289

NPI assigned

Oct 1, 2006

Last updated

Jul 28, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Quynh-Thu Thai, D.D.S., a Prof. Corp.

  • Clinic/Center
  • Fallbrook, CA
  • NPI 1548452774
  NPD (past) Authorized official
• Ramon Cabrera Dental Inc

  • General Practice Dentistry
  • Fallbrook, CA
  • NPI 1457275711
  NPD (past)

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1194818476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 S MAIN AVE",
            "address_2": "SUITE J",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283351",
            "telephone_number": "760-723-8599",
            "fax_number": "760-723-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 S MAIN AVE",
            "address_2": "SUITE J",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283351",
            "telephone_number": "760-723-8599",
            "fax_number": "760-723-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAI",
        "first_name": "QUYNH-THU",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-01",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "37372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G93329-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juliann Taft, LVN
• Megan Tang
• Selmira C Tellechea-Sanchez, M.D.
• Temecula Valley Digestive Disease Consultants a Medical Corporation (United Gastroenterologists)
• Rocio Martinez-Sanchez Terry
• Derek Thomas, LCSW
• Marion Thomas, D.D.S
• Nikki Jean Thompson, LMFT, ATR-BC
• Wisdom Michelle Thompson, LCSW
• Thrifty Payless Inc (Rite Aid Pharmacy 05631)

• General Practice Dentistry in Fallbrook, CA
• Providers in Fallbrook, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.