Individual provider Active NPI

Bryan Thiha Soe

  • Dental Hygienist
  • Orange, CA
National Provider Identifier
1306421573
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
33892 Issued in CA
Practice address
1616 E Mayfair Ave
Orange, CA 92867-7055
Phone
(714) 744-8164
NPI assigned
Mar 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X
Dental Hygienist 124Q00000X 33892 CA Primary

Addresses

Primary practice location

1616 E Mayfair Ave
Orange, CA 92867-7055

Mailing address

20230 Kline LN
Yorba Linda, CA 92887-3269
Phone (714) 337-2561

Other practice location 1

1104 E 17th St Ste C
Santa Ana, CA 92701-2602
Phone (714) 547-6600

Other practice location 2

8381 La Palma Ave
Buena Park, CA 90620-3271
Phone (714) 228-9900

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

LicenseStateTypeSpecialty
33892CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nilar Thein DDS a Professional Corporation CurrentSince Jun 3, 2025 Accepting new patients

Locations

1616 E Mayfair Ave
Orange, CA 92867
Phone (714) 744-8164

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1306421573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20230 KLINE LN",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928873269",
            "telephone_number": "714-337-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 E MAYFAIR AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928677055",
            "telephone_number": "714-744-8164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1104 E 17th St Ste C",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927012602",
            "country_code": "US",
            "telephone_number": "714-547-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8381 La Palma Ave",
            "address_purpose": "LOCATION",
            "city": "Buena Park",
            "state": "CA",
            "postal_code": "906203271",
            "country_code": "US",
            "telephone_number": "714-228-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOE",
        "first_name": "BRYAN",
        "middle_name": "THIHA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-10",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "33892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.