Thai Lam, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

26144 Issued in FL

Practice address

247 S Huey Ave Apt 318
Tarpon Springs, FL 34689-4205

Phone

(727) 824-8181

NPI assigned

Jul 5, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Locations

Networks

• Freedom Health HMO Network

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.

• Community Health Center of Pinellas Inc

  dba Evara Health

  • Federally Qualified Health Center (FQHC)
  • Clearwater, FL
  • NPI 1467873315
  Medicare reassignment NPD
• Community Health Center of Pinellas Inc

  • Federally Qualified Health Center (FQHC)
  • St Petersburg, FL
  • NPI 1518998731
  NPD
• Community Health Centers of Pinellas Inc.

  dba Evara Health

  • Pharmacy
  • Clearwater, FL
  • NPI 1467273383
  NPD

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

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625443200000",
    "number": "1225609985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 GROVELAND AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342857807",
            "telephone_number": "941-223-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 S HUEY AVE APT 318",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346894205",
            "telephone_number": "727-824-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "THAI",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-05",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "26144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Kriston, RDH
• Rhonda Kuhle, HAS
• Gajanan A Kulkarni, MD
• Chandler Ladd
• David Anthony Lam, MD
• Michael Thomas Lama, M.D.
• Toni Lane, D.C.
• Leif R Lange, DC
• Cris E Langheier, CHIROPRACTOR DC
• Sophia Langheier, DC

• General Practice Dentistry in Tarpon Springs, FL
• Providers in Tarpon Springs, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2021; 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.