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THAI THUY TA D.D.S.
NPI 1003953563
Dentist - Periodontics in West Covina, CA

Active since January 31, 2007PECOS Enrolled
1740 W CAMERON AVE STE 106, WEST COVINA, CA 91790(626) 337-4440 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thai Thuy Ta D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THAI THUY TA D.D.S. (NPI 1003953563) is an individual periodontics provider in West Covina, California, licensed in California (45530) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003953563
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameTHAI THUY TACredential: D.D.S.
Location Address1740 W CAMERON AVE STE 106West Covina, CA 91790-2719
Mailing Address1740 W Cameron Ave Ste 106West Covina, CA 91790-2719 · (626) 337-4440
Phone(626) 337-4440
Sole ProprietorNo
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1003953563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 45530
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1740 W CAMERON AVE STE 106, West Covina, CA 91790
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Other Identifiers 1

Other445530CA · G.g. Delta

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thai Thuy Ta D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91790 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NGUYEN AND TA PROFESSIONAL DENTAL CORP.
Dentist (Orthodontics and Dentofacial Orthopedics)
1740 W CAMERON AVE STE 106
WEST COVINA, CA 91790
Los Angeles County (626) 337-8844
PETER J LEE DDS INC
Dentist
1740 W CAMERON AVE STE 106
WEST COVINA, CA 91790
Los Angeles County (310) 936-0831
DR. PETER JOOHAK LEE DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
1740 W CAMERON AVE STE 106
WEST COVINA, CA 91790
Los Angeles County (626) 960-0970
NGUYEN AND TA PROFESSIONAL DENTAL CORP.
Dentist (Periodontics)
1740 W CAMERON AVE STE 106
WEST COVINA, CA 91790
Los Angeles County (626) 337-4440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thai Ta's NPI number?

The NPI number for Thai Ta is 1003953563. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Thai Ta located?

Thai Ta practices at 1740 W Cameron Ave Ste 106, West Covina, CA 91790. The listed phone number is (626) 337-4440.

What is Thai Ta's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Thai Ta enrolled in Medicare?

Yes. Thai Ta is registered in the Medicare PECOS enrollment system.

What insurance does Thai Ta accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Thai Ta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thai Ta was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.