Shiho Tamai Theriot, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS62082 Issued in CA

Practice address

5400 Fountain Ave
Los Angeles, CA 90029-1007

Phone

(323) 461-4301

NPI assigned

Mar 22, 2007

Last updated

Oct 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728086400000",
    "number": "1770609547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4753 ABARGO ST",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913644518",
            "telephone_number": "504-481-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 FOUNTAIN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291007",
            "telephone_number": "323-461-4301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3533 Motor Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900344806",
            "country_code": "US",
            "telephone_number": "310-836-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THERIOT",
        "first_name": "SHIHO",
        "middle_name": "TAMAI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2024-10-05",
        "certification_date": "2024-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5666",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS62082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therapy With Avery, a Licensed Clinical Social Worker Corp
• Therapy With LT
• Thercare
• Theresa Garcia Stehura D D S Inc
• Paulette Theresa
• Claire Therriault
• Sean Theus, FNP-BC, PMHNP-BC
• Bowen Thi
• Long Thi
• Samanda Lee Thi, PA-C

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.