Craig C. Thiede DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

CRAIG C. THIEDE DDS

Practice address

13132 Newport Ave Ste 230
Tustin, CA 92780-3429

Phone

(714) 730-6767

Fax

(714) 730-1161

NPI assigned

Nov 11, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Craig ThiedeNPI 1528127024

Title

Office Manager

Phone

(714) 730-6767

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Craig Carl Thiede, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Tustin, CA
  • NPI 1528127024
  Authorized official Same address or phone

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1841892148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13132 NEWPORT AVE STE 230",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803429",
            "telephone_number": "714-730-6767",
            "fax_number": "714-730-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13132 NEWPORT AVE STE 230",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803429",
            "telephone_number": "714-730-6767",
            "fax_number": "714-730-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG C. THIEDE DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-11",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "THIEDE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-730-6767",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Shen Psychology, Inc.
• Coury & Buehler Physical Therapy - Tustin/Santa Ana, Inc. (Coury & Buehler Physical Therapy - Tustin Santa Ana)
• Coury & Buehler Physical Therapy, Inc. (Coury & Buehler Physical Therapy)
• Gail Bailey Cox, MA
• CP Marketing & Consulting SVCS, Inc. (Magic Touch Homecare)
• Jocelyn Cramer
• Andrew David Davila Crawford, CATC-III
• Caitlin E. Crawford, LCSW
• Michelle D. Crawford, M.A.
• Creative Behavior Interventions

• Oral and Maxillofacial Surgery (Dentist) in Tustin, CA
• Providers in Tustin, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.