Organization Active NPI

Christy H. Thai, D.D.S., Inc.

  • General Practice Dentistry
  • Lakewood, CA
National Provider Identifier
1417228263
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47571 Issued in CA
Legal business name
CHRISTY H. THAI, D.D.S., INC.
Practice address
5507 Woodruff Ave
Lakewood, CA 90713-1534
Phone
(562) 920-9050
Fax
(562) 920-9057
NPI assigned
Jan 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Authorized official

Name
Christy Ha Thai, D.D.S.NPI 1275762569
Title
Ceo
Phone
(562) 920-9050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 47571 CA Primary

Addresses

Primary practice location

5507 Woodruff Ave
Lakewood, CA 90713-1534

Mailing address

5507 Woodruff Ave
Lakewood, CA 90713-1534
Phone (562) 920-9050

Other names 1

  • Lakewood Modern Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

5507 Woodruff Ave
Lakewood, CA 90713
Phone (562) 920-9050

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1417228263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5507 WOODRUFF AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907131534",
            "telephone_number": "562-920-9050",
            "fax_number": "562-920-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5507 WOODRUFF AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907131534",
            "telephone_number": "562-920-9050",
            "fax_number": "562-920-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTY H. THAI, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "THAI",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "HA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-920-9050",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakewood Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.