San Aye Tin, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

41557 Issued in CA

Practice address

2400 Fenton St
Suite a-100
Chula Vista, CA 91914-3596

Phone

(619) 656-3100

Fax

(619) 216-9006

NPI assigned

Jun 28, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• San Aye Tin Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1214611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1407018609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 FENTON ST",
            "address_2": "SUITE A-100",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919143596",
            "telephone_number": "619-656-3100",
            "fax_number": "619-216-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 FENTON ST",
            "address_2": "SUITE A-100",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919143596",
            "telephone_number": "619-656-3100",
            "fax_number": "619-216-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIN",
        "first_name": "SAN AYE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-28",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAN AYE",
            "last_name": "TIN",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• John Emery Tillner Jr., DDS
• Isiah Timbol
• Marlon Timog
• Timothy Bradshaw OD a Professional Corporation
• Earl Aeron Angelo Tuazon Timpog
• Irene Malabanan Ting, D.M.D
• Jenna Lee Tinger, RN
• Maricon Tinoco
• Mehrafarid Tiraie, MD
• Abram Pagtakhan Tirona, MD

• General Practice Dentistry in Chula Vista, CA
• Providers in Chula Vista, 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 Sep 16, 2020; 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.