Richard Thill, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

22460 Issued in CA

Practice address

18102 Irvine Blvd Ste 101
Tustin, CA 92780-3423

Phone

(714) 838-9120

NPI assigned

Jun 27, 2014

Last updated

Jun 27, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Kathleen S. Lim, DDS and Michael J. McCartney, DDS

  • Pediatric Dentistry
  • Tustin, CA
  • NPI 1679633945
  NPD (past)
• Kathleen S. Lim, DDS, P.C.

  dba Tustin Pediatric Dentistry

  • Pediatric Dentistry
  • Tustin, CA
  • NPI 1306436282
  NPD (past)

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1699180612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18102 IRVINE BLVD STE 101",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18102 IRVINE BLVD STE 101",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803423",
            "telephone_number": "714-838-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THILL",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-27",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "22460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Sober Lining
• Nicholas Paul Theders, PT
• Therapaz Counseling, a Licensed Clinical Social Worker Corporation
• Craig Carl Thiede, D.D.S.
• Thien Trang Nguyen DDS Inc
• Think Physical Therapy
• Think Physical Therapy
• Thomas Boone (OC Dental Specialists)
• Thomas J, Tanaka, DPM
• Thomas V Deguzman, PT, a Professional Corp (Tustin Rehab Center)

• Pediatric Dentistry in Tustin, CA
• Providers in Tustin, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.