Active NPI
David Thai, D.D.S
- Dentist
- San Jose, CA
National Provider Identifier
1972990778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 63613
- Practice address
- 2861 Donizetti CT.
San Jose, CA 95132 - Phone
- (408) 439-4235
- NPI assigned
- Apr 20, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 63613 | CA | Primary |
Addresses
Primary practice location
2861 Donizetti CT.
San Jose, CA 95132
Mailing address
2861 Donizetti CT
San Jose, CA 95132-2310
Phone (408) 439-4235
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160923000508 | CA | Order and Referring Only - Dentist | 0446547137 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429488000000",
"number": "1972990778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2861 DONIZETTI CT",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951322310",
"telephone_number": "408-439-4235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2861 DONIZETTI CT.",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95132",
"telephone_number": "408-439-4235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAI",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-20",
"last_updated": "2015-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "63613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.