Sunil D. Thanik, DMD, MSD, LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

SUNIL D. THANIK, DMD, MSD, LLC

Practice address

12025 SW 70TH Ave
Tigard, OR 97223-9634

Phone

(503) 924-6505

NPI assigned

Apr 1, 2024

Organization subpart

No

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

Authorized official

Name

Jenny Garcia Rocha

Title

Sr Credentialing Team Lead

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Progressive Periodontics Doing business as

Locations

Practitioners 2

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

• Sunil Dev Thanik, DMD MSD

  • Periodontics
  • Tigard, OR
  • NPI 1649250317
  NPD
• Sarah Arnsberg, RDH

  • Dental Hygienist
  • Portland, OR
  • NPI 1952854754
  NPD (past)

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1972354447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12025 SW 70TH AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972239634",
            "telephone_number": "503-924-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12025 SW 70TH AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972239634",
            "telephone_number": "503-924-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNIL D. THANIK, DMD, MSD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "GARCIA ROCHA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "SR CREDENTIALING TEAM LEAD",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erika N Styles
• Alessandra Beatriz Maia Suh
• Aliyah Sukkram
• Ashley Sumner, CADC-R
• Nathaniel Aeden Sundholm-Young
• Sunstone Anesthesia, LLC
• Supplemental Health Care
• Supplemental Healthcare
• Daniel Suppnick, D.C.
• Alexis Michelle Supry

• Periodontics in Tigard, OR
• Providers in Tigard, OR by specialty
• Periodontics in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.