Thayer Hussein DDS,Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

64043 Issued in CA

Legal business name

THAYER HUSSEIN DDS,INC

Practice address

13872 Harbor Blvd Ste 1a-3
Garden Grove, CA 92843-4041

Phone

(714) 265-1000

Fax

(714) 265-1000

NPI assigned

Jan 22, 2018

Last updated

Feb 8, 2018By 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

Thayer Hussein, DDSNPI 1881030872

Title

Owner

Phone

(714) 588-6500

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Thayer F Hussein, DDS

  • General Practice Dentistry
  • Garden Grove, CA
  • NPI 1881030872
  Authorized official Same address or phone

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518048000000",
    "number": "1679081848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10591 RAMBLEWOOD DR",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906802149",
            "telephone_number": "714-588-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13872 HARBOR BLVD STE 1A-3",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434041",
            "telephone_number": "714-265-1000",
            "fax_number": "714-265-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THAYER HUSSEIN DDS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-02-08",
        "status": "A",
        "authorized_official_last_name": "HUSSEIN",
        "authorized_official_first_name": "THAYER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-588-6500",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "64043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881030872",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Garden Grove, CA
• Providers in Garden 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 Feb 8, 2018; 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.