THERESA TA (NPI# 1487133492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487133492 |
| Entity Type | Individual |
| Full Name | THERESA TA |
| Credential | DDS |
| Practice Address |
3124 Senter Rd San Jose CA 95111-1257 |
| Mailing Address |
3124 Terra Cotta Ct San Jose CA 95135-2025 |
| Practice Telephone | 4085834888 |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DDS102964 | CA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2090 N Capitol Ave, San Jose, CA 951321017 | 4082626301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194003178 | Theresa Ta | Student in an Organized Health Care Education/Training Program | 3801 Miranda Ave, Dental Services (160), Palo Alto, CA 94304-1207 | 2011-07-26 |
| Street Address |
3124 SENTER RD |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95111-1257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184792145 | Tien M Tran | Dentist | 3124 Senter Rd, Dental Clinic, San Jose, CA 95111-1257 | 2006-11-30 |
| 1093299059 | Thai, D.d.s., Inc. | Dentist | 3124 Senter Rd, San Jose, CA 95111 | 2018-09-17 |
| 1922518240 | Eric Ngo | Dentist | 3124 Senter Rd, San Jose, CA 95111-1257 | 2017-10-02 |
| 1952703423 | Tien Manh Tran Dds, Inc. | Dentist | 3124 Senter Rd, San Jose, CA 95111-1257 | 2014-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134667413 | Aldo Hernandez | Community Health Worker | 488 Skyway Dr, San Jose, CA 95111 | 2017-02-07 |
| 1518217017 | Jean Jennifer J Soliven | Registered Nurse | 614 Tully Rd., San Jose, CA 95111 | 2012-09-12 |
| 1679894604 | Julie Chi | Counselor | 581 Coyote Road, San Jose, CA 95111 | 2010-06-14 |
| 1720278179 | Mv Transportation | Non-emergency Medical Transport (VAN) | 555 Tully Road, Mv Transportation, San Jose, CA 95111 | 2007-07-31 |
| 1437355948 | Anthony Cozzolino | Psychiatry & Neurology | 614 Tully Road, Narvaez Mental Health, San Jose, CA 95111 | 2007-06-22 |
| 1750403515 | Karen Pham | Dentist | 4074 Monterey Road, San Jose, CA 95111 | 2007-04-04 |
| 1376697847 | Mai Anh Le | Dentist | 60 Senter Rd, San Jose, CA 95111 | 2007-01-22 |
| 1649335852 | Bui and Enriquez Dental Corporation | Dentist | 485 Lewis Rd, Suite A, San Jose, CA 95111 | 2006-12-27 |
| 1619031903 | Huyen Thu Nguyen | Pharmacist | 796 Apple Terrace, San Jose, CA 95111 | 2006-12-20 |
| 1285720342 | Lily Khanh-linh Thi Nguyen | Obstetrics & Gynecology | 500 W Tully Rd, Ob/gyn Clinic, San Jose, CA 95111 | 2006-10-05 |
| Find all providers in zip 95111 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023623865 | Nguyen and Tran Dental Corporation | Dentist | 6130 Hellyer Avenue, San Jose, CA 95138 | 2020-09-09 |
| 1699307835 | Simranpreet Kaur | Dentist | 3323 Arqueado Dr, San Jose, CA 95148-2106 | 2020-02-05 |
| 1629616479 | Colin S. Ilas D.d.s. | Dentist | 1206 N Capitol Ave Ste 101, San Jose, CA 95132-2572 | 2019-12-11 |
| 1376197848 | Mariam Samir Abadir | Dentist | 1670 Westwood Dr. Suite K, San Jose, CA 95125 | 2019-08-01 |
| 1427601400 | Parisa Radi | Dentist | 7318 Glenview Dr, San Jose, CA 95120-5806 | 2019-07-19 |
| 1346802469 | Trammie Bui D.d.s., Inc | Dentist | 228 N Jackson Ave Ste 50, San Jose, CA 95116-1602 | 2019-06-29 |
| 1922669597 | Tracy Filler, Dmd, Inc. | Dentist | 1569 Lexann Drive, Suite 202, San Jose, CA 95121 | 2019-06-25 |
| 1508346818 | Lai and Wu Dental Corp | Dentist | 670 River Oaks Pkwy Ste J, San Jose, CA 95134-1988 | 2018-08-16 |
| 1477039998 | Jae Hyuk Yun | Dentist | 651 Eden Ave, San Jose, CA 95117-2209 | 2018-07-18 |
| 1699260935 | Rodolfo Hernandez Morales | Dentist | 171 George St, San Jose, CA 95110-2118 | 2018-06-28 |
| Find all providers in SAN JOSE | ||||
Please comment or provide details below to improve the information on THERESA TA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.