Vicheth Thay, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

46531 Issued in CA

Practice address

18250 Roscoe Blvd Ste 230
Northridge, CA 91325-4269

Phone

(818) 885-1981

Fax

(818) 885-1937

NPI assigned

Jun 20, 2007

Sex

Male

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vicheth.thay.p1@direct.nevhc.nextgenshare.com

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.

• Northeast Valley Health Corporation

  • Federally Qualified Health Center (FQHC)
  • Van Nuys, CA
  • NPI 1629079009
  Medicare reassignment NPD
• Vicheth Thay, DDS, Inc.

  • Dentist
  • Northridge, CA
  • NPI 1124224779
  NPD (past) Authorized official
• Northeast Valley Health Corporation

  • Federally Qualified Health Center (FQHC)
  • San Fernando, CA
  • NPI 1235130600
  NPD
• Northeast Valley Health Corporation

  • Federally Qualified Health Center (FQHC)
  • Santa Clarita, CA
  • NPI 1548960834
  NPD

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700081528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18250 ROSCOE BLVD STE 230",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254269",
            "telephone_number": "818-885-1981",
            "fax_number": "818-885-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18250 ROSCOE BLVD STE 230",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254269",
            "telephone_number": "818-885-1981",
            "fax_number": "818-885-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAY",
        "first_name": "VICHETH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "46531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Terry M. McElroy Inc.
• Michael Varoujan Terzian, O.D.
• The Functional Treehouse Speech Therapy, Inc.
• The Language House Speech Therapy, PC
• The University Corporation
• Spiros Konstantinos Theodosiou, DC
• Theoria Marriage and Family Counseling Inc.

• Dentist in Northridge, CA
• Providers in Northridge, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.