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WATCHARIYAPORN THASAI
NPI 1417823501
Dentist in Chicago, IL

Active since October 15, 2025
4901 N KEDZIE AVE, CHICAGO, IL 60625(773) 895-9202 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Watchariyaporn Thasai NPPES

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

WATCHARIYAPORN THASAI (NPI 1417823501) is an individual dentist in Chicago, Illinois, licensed in Illinois (019035849) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1417823501
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameWATCHARIYAPORN THASAI
Location Address4901 N KEDZIE AVEChicago, IL 60625-5009
Mailing Address404 E Clark St Apt 109Champaign, IL 61820-5208
Phone(773) 895-9202
Sole ProprietorYes
Enumeration DateOctober 15, 2025
Last NPPES UpdateDecember 8, 2025
NPPES CertifiedDecember 8, 2025
✔ NPI 1417823501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019035849
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4901 N KEDZIE AVE, Chicago, IL 60625
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Other Providers at the Same Location NPPES 20

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

HISHAM JOSEPH GHARIB
Dentist
4901 N KEDZIE AVE
CHICAGO, IL 60625
Cook County (773) 509-9200
BRITTANY ANN MOORE
Behavior Analyst
4901 N KEDZIE AVE
CHICAGO, IL 60625
Cook County (630) 300-3400
NICKY PERRY
Behavior Technician
4901 N KEDZIE AVE
CHICAGO, IL 60625
Cook County (630) 300-3400
RENE ALBISHARA
Dentist
4901 N KEDZIE AVE
CHICAGO, IL 60625
Cook County (773) 509-9200
SASA STOJANOVIC D.D.S.
Dentist (General Practice)
4901 N KEDZIE AVE
CHICAGO, IL 60625
Cook County (773) 509-9200
KATHY THANH TRAN
Behavior Technician
4901 N KEDZIE AVE
CHICAGO, IL 60625
Cook County (630) 300-3400
DEVORAH SPIEGEL
Behavior Technician
4901 N KEDZIE AVE
CHICAGO, IL 60625
Cook County (630) 300-3400
TEANLA HOUSE
Behavior Technician
4901 N KEDZIE AVE
CHICAGO, IL 60625
Cook County (630) 300-3400

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 Watchariyaporn Thasai's NPI number?

The NPI number for Watchariyaporn Thasai is 1417823501. It was assigned to this individual provider in the NPPES registry on October 15, 2025.

Where is Watchariyaporn Thasai located?

Watchariyaporn Thasai practices at 4901 N Kedzie Ave, Chicago, IL 60625. The listed phone number is (773) 895-9202.

What is Watchariyaporn Thasai's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Watchariyaporn Thasai was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.