Gladvin Murphy Thyagaraj, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

103841 Issued in CA

Practice address

3780 El Cajon Blvd
San Diego, CA 92105-1080

Phone

(619) 265-2467

NPI assigned

Aug 24, 2019

Last updated

Nov 11, 2019By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Compean and Jefferson Dental Corporation

  dba Triangle Dental Group And Orthodontics

  • General Practice Dentistry
  • Fontana, CA
  • NPI 1427140284
  NPD (past)

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

{
    "created_epoch": "1566604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1861049736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22780 VISTA GRANDE WAY",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923134943",
            "telephone_number": "909-462-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3780 EL CAJON BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051080",
            "telephone_number": "619-265-2467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14305 Baseline Ave",
            "address_purpose": "LOCATION",
            "city": "Fontana",
            "state": "CA",
            "postal_code": "923363631",
            "country_code": "US",
            "telephone_number": "909-355-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THYAGARAJ",
        "first_name": "GLADVIN",
        "middle_name": "MURPHY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-24",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "103841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Thurston, PMHNP-BC
• Emily Louise Thurston, N.P.
• Martin Hugh Thurston, DDS
• Darrin Thuy
• John E. Thvedt, EDD
• Linda Thyberg
• Jade Maria Tiaba
• Maria Lourdes Agustin Tiamson-Kassab, M.D.
• Michele Tiana
• Tibbetts East-West Therapy Center,Inc

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, 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 Nov 11, 2019; 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.