Individual provider Active NPI

Thuytien Ton, D.D.S.

  • Dentist
  • Mission Viejo, CA
National Provider Identifier
1700080488
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
42382 Issued in CA
Practice address
22922 Los Alisos Blvd Ste J
Mission Viejo, CA 92691-2856
Phone
(949) 783-2671
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 42382 CA Primary

Addresses

Primary practice location

22922 Los Alisos Blvd Ste J
Mission Viejo, CA 92691-2856

Mailing address

10371 Prather LN
Tustin, CA 92782-1437
Phone (714) 272-2708

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
I20161116002024 CA Order and Referring Only - DentistPractitioner - Dentist 2062791924

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thuytien Ton, D.D.S., Inc CurrentSince Oct 11, 2020 Accepting new patients
Nasrin Khajeh DMD, Inc. PastSince Jun 21, 2020 Accepting new patients

Locations

2530 Bryan Ave
Ste E
Tustin, CA 92782
Phone (714) 508-8080

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1700080488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10371 PRATHER LN",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927821437",
            "telephone_number": "714-272-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22922 LOS ALISOS BLVD STE J",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912856",
            "telephone_number": "949-783-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TON",
        "first_name": "THUYTIEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "42382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.