Organization Active NPI

Brandon Thai DDS, Inc

  • General Practice Dentistry
  • Saugus, CA
National Provider Identifier
1568650893
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
49227 Issued in CA
Legal business name
BRANDON THAI DDS, INC
Practice address
28100 Bouquet Canyon Rd
200
Saugus, CA 91350-2005
Phone
(661) 263-6923
NPI assigned
Oct 11, 2007
Last updated
Oct 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Dr. Brandon Tuan Thai, D.D.SNPI 1053481663
Title
C.E.O
Phone
(661) 263-6923

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 Dentistry 1223G0001X 49227 CA Primary

Addresses

Primary practice location

28100 Bouquet Canyon Rd
200
Saugus, CA 91350-2005

Mailing address

28100 Bouquet Canyon Rd
200
Saugus, CA 91350-2005
Phone (661) 263-6923

National Provider Directory

National Provider Directory

Locations

28100 Bouquet Canyon Rd
Ste 200
Saugus, CA 91350
Phone (661) 263-6923

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1568650893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28100 BOUQUET CANYON RD",
            "address_2": "200",
            "city": "SAUGUS",
            "state": "CA",
            "postal_code": "913502005",
            "telephone_number": "661-263-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28100 BOUQUET CANYON RD",
            "address_2": "200",
            "city": "SAUGUS",
            "state": "CA",
            "postal_code": "913502005",
            "telephone_number": "661-263-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON THAI DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "THAI",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "TUAN",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "661-263-6923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saugus, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.