Individual provider Active NPI

Thanh Tam N. Ton, DDS

  • Pediatric Dentistry
  • Reseda, CA
National Provider Identifier
1598818148
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
46338 Issued in CA
Practice address
19215 Vanowen St
Reseda, CA 91335-5019
Phone
(818) 996-7665
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 46338 CA Primary

Addresses

Primary practice location

19215 Vanowen St
Reseda, CA 91335-5019

Mailing address

19215 Vanowen St
Reseda, CA 91335-5019
Phone (818) 996-7665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160107002431 CA Order and Referring Only - DentistPractitioner - Dentist 5799087789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46338CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ton DDS Corporation Pediatric Dentistry Past Accepting new patients
Ton DDS Coporation Pediatric Dentistry Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1598818148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19215 VANOWEN ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913355019",
            "telephone_number": "818-996-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19215 VANOWEN ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913355019",
            "telephone_number": "818-996-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TON",
        "first_name": "THANH TAM",
        "middle_name": "N.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "46338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

Verify at the official NPI Registry.