Thai Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49010 Issued in CA

Legal business name

THAI DENTAL CORPORATION

Doing business as

Evergreen Hills Dental Group

Practice address

5645 Silver Creek Valley Rd
Suite 220
San Jose, CA 95138-2474

Phone

(408) 274-9988

Fax

(408) 841-9714

NPI assigned

Mar 6, 2013

Organization subpart

No

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

Authorized official

Name

Mindi Thai, DDS

Title

President

Phone

(408) 274-9988

Specialties & licenses 1

Addresses

Other names 1

• Evergreen Hills Dental Group Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Celine Linh-CHI Tran

  • Dentist
  • San Jose, CA
  • NPI 1073345021
  NPD (past)

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1841531514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5645 SILVER CREEK VALLEY RD",
            "address_2": "SUITE 220",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951382474",
            "telephone_number": "408-274-9988",
            "fax_number": "408-841-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 SILVER CREEK VALLEY RD",
            "address_2": "SUITE 220",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951382474",
            "telephone_number": "408-274-9988",
            "fax_number": "408-841-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THAI DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "THAI",
        "authorized_official_first_name": "MINDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-274-9988",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Hills Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Tesseo
• Test Me 2
• Felicia Tetz
• Krishan Tewatia
• Thachtu Le Nguyen DDS Inc
• Thai Hung Dental Corporation
• Thai Vinh Tran, M.D., Inc.
• Aimee Chu Thai
• Albert Thai
• Cathy Thai, PHARMD

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, 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 Mar 6, 2013; 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.