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DR. MIMI THEERATHADA DMD
NPI 1528256369
Dentist in Westminster, CA

Active since October 05, 2007
9972 BOLSA AVE, 102, WESTMINSTER, CA 92683(714) 839-3112(714) 839-3223 Get Directions Write a Review

NPPES record last updated: February 21, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 21, 2017, Feb 26, 2016 (2 updates tracked since 2016).

About Dr. Mimi Theerathada Dmd NPPES

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

DR. MIMI THEERATHADA DMD (NPI 1528256369) is an individual dentist in Westminster, California, licensed in California (56371) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1528256369
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. MIMI THEERATHADACredential: DMD
Location Address9972 BOLSA AVE, 102Westminster, CA 92683-6069
Mailing Address9972 Bolsa Ave, 102Westminster, CA 92683-6069 · (714) 839-3112 · Fax (714) 839-3223
Phone(714) 839-3112
Fax(714) 839-3223
Sole ProprietorNo
Enumeration DateOctober 5, 2007
Last NPPES UpdateFebruary 21, 20172 updates tracked since enumeration
✔ NPI 1528256369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 56371
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.
9972 BOLSA AVE, Westminster, CA 92683
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Other Identifiers 1

Medicaid56371CA

Accepted Insurance

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

Other Providers at the Same Location NPPES 3

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

MIMI THEERATHADA DENTAL CORPORATION
Dentist (General Practice)
9972 BOLSA AVE, 102
WESTMINSTER, CA 92683
Orange County (714) 839-3112
DR. CHINH QUOC NGUYEN D.D.S.
Dentist
9972 BOLSA AVE, SUITE 102
WESTMINSTER, CA 92683
Orange County (714) 839-3112
DR. JOHNATHAN ANDREW VU DMD
Dentist (General Practice)
9972 BOLSA AVE, SUITE #102
WESTMINSTER, CA 92683
Orange County (714) 839-3112

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 Mimi Theerathada's NPI number?

The NPI number for Mimi Theerathada is 1528256369. It was assigned to this individual provider in the NPPES registry on October 5, 2007.

Where is Mimi Theerathada located?

Mimi Theerathada practices at 9972 Bolsa Ave 102, Westminster, CA 92683. The listed phone number is (714) 839-3112.

What is Mimi Theerathada's specialty?

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

What insurance does Mimi Theerathada accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 2 other insurers list Mimi Theerathada 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 Mimi Theerathada was last updated on February 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.