Individual provider Active NPI

Thay Lay

  • General Practice Dentistry
  • Burlingame, CA
National Provider Identifier
1689175762
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
104011 Issued in CA
Practice address
1275 California Dr # a
Burlingame, CA 94010-3430
Phone
(650) 343-3042
NPI assigned
Feb 23, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 104011 CA Primary

Addresses

Primary practice location

1275 California Dr # a
Burlingame, CA 94010-3430

Mailing address

1275 California Dr
Burlingame, CA 94010-3430

Other practice location 1

2400 Westborough Blvd
South San Francisco, CA 94080-5404
Phone (650) 583-8866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
104011CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lay Dental Corporation CurrentSince Jan 15, 2023 Accepting new patients
McCarthy General Dentistry PastSince Jan 15, 2023 Accepting new patients

Locations

1275 California Dr
#A
Burlingame, CA 94010
Phone (650) 343-3042

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": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1689175762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 CALIFORNIA DR",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 CALIFORNIA DR # A",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103430",
            "telephone_number": "650-343-3042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Westborough Blvd",
            "address_purpose": "LOCATION",
            "city": "South San Francisco",
            "state": "CA",
            "postal_code": "940805404",
            "country_code": "US",
            "telephone_number": "650-583-8866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAY",
        "first_name": "THAY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-23",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.