Organization Active NPI

Thai Dental PC

  • General Practice Dentistry
  • Thornton, CO
National Provider Identifier
1356796841
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8430 Issued in CO
Legal business name
THAI DENTAL PC
Practice address
810 E 88TH Ave
Suite 150
Thornton, CO 80229-4747
Phone
(303) 254-8828
NPI assigned
May 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Authorized official

Name
Minh John Thai, DDS
Title
Dentist
Phone
(303) 653-3020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 8430 CO Primary

Addresses

Primary practice location

810 E 88TH Ave
Suite 150
Thornton, CO 80229-4747

Mailing address

1580 W 141St Way
Westminster, CO 80023-8459
Phone (303) 653-3020

Other identifiers 1

IdentifierTypeStateIssuer
6457347MedicaidCO

Other names 1

  • Thornton Family Dental & Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

810 E 88th Ave
Ste 150
Thornton, CO 80229
Phone (303) 254-8828

NPI Registry JSON

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

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1356796841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 W 141ST WAY",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800238459",
            "telephone_number": "303-653-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E 88TH AVE",
            "address_2": "SUITE 150",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294747",
            "telephone_number": "303-254-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THAI DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "THAI",
        "authorized_official_first_name": "MINH",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "303-653-3020",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6457347",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thornton Family Dental & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.