Viet Ton That, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

51660 Issued in CA

Practice address

2635 Gateway Rd Ste 101
Carlsbad, CA 92009-1753

Phone

(760) 431-8112

NPI assigned

Oct 2, 2009

Sex

Male

Sole proprietor

No

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

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

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 and National Provider Directory roles.

• Clinton Park Dental Corporation

  • General Practice Dentistry
  • Carlsbad, CA
  • NPI 1083848568
  NPD (past)

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1871828277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2946 AVENIDA VALERA",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920097121",
            "telephone_number": "408-605-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 GATEWAY RD STE 101",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920091753",
            "telephone_number": "760-431-8112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2946 Avenida Valera",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920097121",
            "country_code": "US",
            "telephone_number": "408-605-0543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TON THAT",
        "first_name": "VIET",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-02",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OR",
            "license": "D9353",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "51660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Grace Tletski, PHARMD
• Blakely Sage Tobin
• Elaine May G Tolentino
• Jennifer Tom, L.AC.
• Victoria Rose Tomassetti
• Makenna Tootikian
• Justin Paul Torok
• Emily Torres
• Jeffrey Hitoshi Torres
• Robert Torres Jr., RBT

• Periodontics in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.