DR. JESSICA THAI (NPI# 1912473505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912473505 |
| Entity Type | Individual |
| Full Name | DR. JESSICA THAI |
| Credential | DDS |
| Practice Address |
25055 Riding Plz Ste 110 Chantilly VA 20152-5918 |
| Practice Telephone | 7037222900 |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2020-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
0401416212 | VA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20405 Exchange St Ste 210, Ashburn, VA 201475934 | 7037290169 | |
| 450 N Washington St, Falls Church, VA 220463439 | 7033991387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649808254 | Jessica Thai | Student in an Organized Health Care Education/Training Program | 505-272-5428 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2020-03-30 |
| 1295122984 | Jessica Thai | Nurse Practitioner | 55 Fruit St, Yawkey 5b, Boston, MA 02114-2621 | 2015-04-20 |
| Street Address |
25055 RIDING PLZ STE 110 |
| City | CHANTILLY |
| State | VA |
| Zip Code | 20152-5918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669751 | Joy Chirnside Mclaughlin | Physical Therapist | 26097 Iverson Drive, Chantilly, VA 20152 | 2020-11-04 |
| 1972132090 | Alissa S Rexo | Specialist | 25251 Beach Place, Chantilly, VA 20152 | 2020-04-02 |
| 1982178620 | South Riding Modern Dentistry, PC | Dentist | 25421 Lizzio Center Dr., Suite 190, Chantilly, VA 20152 | 2019-01-16 |
| 1154897627 | Nicole Hong | Dentist | 25273 Nesting Sq, Chantilly, VA 20152 | 2018-10-22 |
| 1437586369 | Chiron Physical Therapy LLC | Physical Therapist | 48130 Amberwood Plaza, Suite 100, South Riding, VA 20152 | 2013-10-10 |
| 1376772178 | Gloria Seon-young Kim | Dentist | 24805 Pinebrook Rd # 311, Chantilly, VA 20152 | 2009-07-14 |
| 1992955777 | Sohaib S. Elsayed | Family Medicine | 25055 Riding Plz Ste 220, South Riding, VA 20152 | 2008-09-29 |
| 1538328067 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 24795 Pinebrook Rd, South Riding, VA 20152 | 2008-06-09 |
| 1790970556 | Irfan Galaria | Plastic Surgery | 24805 Pinebrook Road, Suite #154, Chantilly, VA 20152 | 2007-09-13 |
| 1316150881 | Dina Gottesman | Pediatrics | 25055 Riding Plaza, Suite 150, South Riding, VA 20152 | 2007-05-08 |
| Find all providers in zip 20152 | ||||
| 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 |
|---|---|---|---|---|
| 1669897450 | William E Crutchfield II | Dentist | 14012 Sullyfield Cir, Suite E, Chantilly, VA 20151-1681 | 2014-03-03 |
| 1720193493 | Ajit Denis Britto | Dentist | 4080 Lafayette Center Dr Ste 160a, Chantilly, VA 20151-1248 | 2006-08-20 |
| 1477759298 | Neal D. Kravitz | Dentist | 25055 Riding Plaza, Suite 110, Chantilly, VA 20152-5918 | 2007-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841804911 | Justin Groody | Dentist | 900 N 24th St, Richmond, VA 23223-6412 | 2020-09-04 |
| 1609484047 | Nicholas Mcchesney Lynch | Dentist | 520 N 12th St Rm 111, Richmond, VA 23298-5064 | 2020-07-22 |
| 1861021131 | Bailey Orthodontics Pllc | Dentist | 16446 Navigation Drive, Woodbridge, VA 22191 | 2020-04-07 |
| 1649813163 | Ki Youn Kil | Dentist | 800 W Broad St Ste 307, Falls Church, VA 22046-3145 | 2019-10-28 |
| 1811548605 | Morgan Orthodontics | Dentist | 1841 Plaza Dr, Winchester, VA 22601-6365 | 2019-09-24 |
| 1770140030 | M Kent Kiser, Dds, Ltd | Dentist | 1151 E Main St Ste C, Radford, VA 24141-1761 | 2019-05-22 |
| 1679137608 | Deirdre Maull | Dentist | 6845 Elm St Ste 505, Mc Lean, VA 22101-3822 | 2019-04-25 |
| 1629541560 | C William Dabney, PC | Dentist | 304 Browns Hill Ct, Midlothian, VA 23114-9511 | 2019-01-03 |
| 1356819981 | Novicare Orthodontics Pllc | Dentist | 717 Pendleton St, Alexandria, VA 22314-1820 | 2018-11-13 |
| 1619459633 | Moataz Nasser Elmahdy | Dentist | 2338 East Little Greek Rd, Norfolk, VA 23518 | 2018-09-06 |
| Find all providers with the same taxonomy | ||||
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| 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.