Thian Srisurapol DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

THIAN SRISURAPOL DDS PLLC

Doing business as

Premier Orthodontics

Practice address

23535 NE Novelty Hill Rd # D308
Redmond, WA 98053-5502

Phone

(425) 868-7770

Fax

(425) 868-7718

NPI assigned

Sep 11, 2020

Last updated

Oct 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thian Srisurapol, DDSNPI 1558703819

Title

Owner/Orthodontist

Phone

(480) 326-3140

Specialties & licenses 1

Addresses

Other names 1

• Premier Orthodontics Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thian Srisurapol, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Seattle, WA
  • NPI 1558703819
  NPD Authorized official
• Roselind Soojin Nam, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Redmond, WA
  • NPI 1982863437
  NPD

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634342400000",
    "number": "1528673902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12819 RENTON AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981784849",
            "telephone_number": "480-326-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23535 NE NOVELTY HILL RD # D308",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980535502",
            "telephone_number": "425-868-7770",
            "fax_number": "425-868-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIAN SRISURAPOL DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-11",
        "last_updated": "2021-10-16",
        "certification_date": "2021-10-16",
        "status": "A",
        "authorized_official_last_name": "SRISURAPOL",
        "authorized_official_first_name": "THIAN",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "480-326-3140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Perfect Push, PLLC
• The Salveo Center Inc
• Therapeutic Associates, Inc (TAI - SE Redmond)
• Therapy Management Services, PLLC
• Theresa H.T. Nguyen PLLC
• Linda Raye Thoennes, ARNP
• Arlene Thomas, MS LMFT
• Bradley Stephen Thomas
• Judith Lorae Thomas
• Karidee Thomas, PA-C, RD

• Dental Clinic/Center in Redmond, WA
• Providers in Redmond, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2021; 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.