THIAN SRISURAPOL (NPI# 1558703819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558703819 |
| Entity Type | Individual |
| Full Name | THIAN SRISURAPOL |
| Credential | DDS |
| Practice Address |
13346 1st Ave Ne Seattle WA 98125-3036 |
| Mailing Address |
12819 Renton Ave S Seattle WA 98178-4849 |
| Practice Telephone | 2065236327 |
| Mailing Telephone | 4803263140 |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2020-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 0401414951 | VA | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
31290 | TX | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DE60574845 | WA | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
0401414951 | VA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1502 Williamson Rd Ne, #1000a, Roanoke, VA 240125130 | 5402062203 |
| Street Address |
13346 1ST AVE NE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98125-3036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417984790 | Afia Christine Menke | Naturopath | 13346 1st Ave Ne, Seattle, WA 98125-3036 | 2006-06-26 |
| 1528673902 | Thian Srisurapol Dds Pllc | Clinic/Center | 13346 1st Ave Ne, Seattle, WA 98125-3036 | 2020-09-11 |
| 1033319348 | Timothy Robert Morris | Naturopath | 13346 1st Ave Ne, Seattle, WA 98125-3036 | 2007-07-24 |
| 1700087111 | Padmaraj V. Angolkar D.d.s., M.d.s. | Dentist | 13346 1st Ave Ne, Seattle, WA 98125-3036 | 2007-05-31 |
| 1255458261 | Shorline Naturopathic Family Health Center | Acupuncturist | 13346 1st Ave Ne, Seattle, WA 98125-3036 | 2007-03-23 |
| 1346349222 | Sarah Elisabeth Schell | Naturopath | 13346 1st Ave Ne, Seattle, WA 98125-3036 | 2006-09-21 |
| 1699784835 | Anders J Ekstromer | Massage Therapist | 13346 1st Ave Ne, Seattle, WA 98125-3036 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771494 | Erin Renee Blood | Behavior Technician | 14301 30th Ave Ne, Seattle, WA 98125 | 2019-10-09 |
| 1023587912 | Ami Tsuchiya | Physical Therapist | 2611 Ne 125th St, Suite 90, Seattle, WA 98125 | 2018-11-20 |
| 1730603556 | Lauren Morgan | Counselor | 10125 Lake City Way Ne, Seattle, WA 98125 | 2017-08-02 |
| 1427572353 | Beverly Ann Williamson | Counselor | Community Psychiatric Clinic, 11000 Lake City Way, Ne, Seattle, WA 98125 | 2017-08-02 |
| 1902320229 | Lillian Marilynanne Olin | Nurse's Aide | 12728 28th Ave Ne Apt 510, Seattle, WA 98125 | 2017-07-28 |
| 1760913743 | Ariel Alon | Counselor | 13325 31st Ave Ne, Seattle, WA 98125 | 2017-03-22 |
| 1154872380 | Jean Hung | Naturopath | 12317 15th Ave Ne Suite #103, Seattle, WA 98125 | 2016-10-24 |
| 1063806438 | Hope Health Senior Care | Clinic/Center | 507ne Northgate Way, Suite #441, Seattle, WA 98125 | 2015-03-24 |
| 1073938585 | Lily Jei-ho Chang | Acupuncturist | 12710 102nd Ave Ne, Kirkland, WA 98125 | 2014-02-20 |
| 1033548177 | George Ray Coleman | Naturopath | 12520 26th Ave Ne, Unit B, Seattle, WA 98125 | 2013-11-08 |
| Find all providers in zip 98125 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975948 | Hurst and Shannon Pllc | Dentist | 400 Pine St Ste 2017, Seattle, WA 98101-3625 | 2020-06-01 |
| 1891250429 | Daniel Lee, Dds, and Christina Lee, Dds, Ms, Pllc | Dentist | 2911 2nd Ave, Suite 106, Seattle, WA 98121-3065 | 2019-02-07 |
| 1578070777 | Daniel Schruth Dds Pllc | Dentist | 4716 Rainier Ave S, Seattle, WA 98118-1658 | 2018-01-09 |
| 1720513096 | Fedora Katz | Dentist | 2108 N Pacific Street Ap 203, Seattle, WA 98103 | 2017-04-25 |
| 1285188979 | Leone and Vaughn Orthodontics | Dentist | 3131 E Madison St Ste 200, Seattle, WA 98112-4248 | 2016-08-10 |
| 1336594852 | Derek Joshua Hou | Dentist | 6210 28th Ave Ne, Seattle, WA 98115-7118 | 2016-05-03 |
| 1316300155 | Soleil De Marsche Roberts | Dentist | 2714 Fairview Ave E, Apt 301, Seattle, WA 98102-3115 | 2016-03-30 |
| 1407230345 | Douglas S. Ramsay | Dentist | Department of Oral Health Sciences, Univ. of Wa.; Box # 357475, Seattle, WA 98195-7475 | 2015-07-09 |
| 1225454374 | Siddharth R Vora | Dentist | 523 Broadway E, 215, Seattle, WA 98102-5218 | 2014-03-13 |
| 1629326962 | Keith B Wong | Dentist | 1818 E Mercer St, Suite 200, Seattle, WA 98112-4687 | 2012-08-16 |
| Find all providers in SEATTLE | ||||
Please comment or provide details below to improve the information on THIAN SRISURAPOL.
| 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.