Individual provider Active NPI

Cam-Tu Thi DO, DDS

  • General Practice Dentistry
  • Burien, WA
National Provider Identifier
1346558731
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60172482 Issued in WA
Practice address
18010 8TH Ave S
Suite 416
Burien, WA 98148
Phone
(206) 631-7316
Fax
(206) 631-7339
NPI assigned
Sep 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE60172482 WA Primary

Addresses

Primary practice location

18010 8TH Ave S
Suite 416
Burien, WA 98148

Mailing address

18010 8TH Ave S
Suite 416
Burien, WA 98148
Phone (206) 631-7316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161021001037 WA Order and Referring Only - Other (Non-Physician) 6901184282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1346558731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18010 8TH AVE S",
            "address_2": "SUITE 416",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "98148",
            "telephone_number": "206-631-7316",
            "fax_number": "206-631-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18010 8TH AVE S",
            "address_2": "SUITE 416",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "98148",
            "telephone_number": "206-631-7316",
            "fax_number": "206-631-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "CAM-TU",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60172482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

Verify at the official NPI Registry.