Thaddous Archie, DDS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

THADDOUS ARCHIE, DDS

Practice address

8013 Laguna Blvd Ste 2
Elk Grove, CA 95758-8130

Phone

(916) 691-6020

Fax

(916) 691-6022

NPI assigned

Nov 7, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Thaddous L Archie, DDSNPI 1992864011

Title

Dentist, Owner

Phone

(916) 691-6020

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Thaddous L Archie, DDS

  • General Practice Dentistry
  • Elk Grove, CA
  • NPI 1992864011
  NPD Authorized official
• Lucille Lam, D.D.S.

  • General Practice Dentistry
  • Elk Grove, CA
  • NPI 1942598552
  NPD (past)
• Kirk Youngman, D.M.D.

  • General Practice Dentistry
  • Elk Grove, CA
  • NPI 1740517580
  NPD (past)
• Truc CHI Thi Pham, DDS

  • Dentist
  • Denver, CO
  • NPI 1811106735
  NPD (past)

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1598588451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8013 LAGUNA BLVD STE 2",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588130",
            "telephone_number": "916-691-6020",
            "fax_number": "916-691-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8013 LAGUNA BLVD STE 2",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588130",
            "telephone_number": "916-691-6020",
            "fax_number": "916-691-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THADDOUS ARCHIE, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "ARCHIE",
        "authorized_official_first_name": "THADDOUS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST, OWNER",
        "authorized_official_telephone_number": "916-691-6020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amleset Teklay Melchor
• Telemd Inc
• Telemedi-Cal
• Yvonne Telles
• Adam Tellier, CCM, LCSW
• Khuong Thai, PHARMD
• Tina Thai
• Nicole Thanh
• Goejoua Thao
• Kayla Thao

• Dental Clinic/Center in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.