DR. VICHETH THAY D.D.S.
NPI 1700081528
Dentist in Northridge, CA

Q: What is Vicheth Thay's NPI number?

The NPI number for Vicheth Thay is 1700081528. It was assigned to this individual provider in the NPPES registry on June 20, 2007.

Q: What is Vicheth Thay's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Vicheth Thay 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.

Active since June 20, 2007PECOS Enrolled

18250 ROSCOE BLVD STE 230, NORTHRIDGE, CA 91325(818) 885-1981(818) 885-1937 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Vicheth Thay D.d.s. NPPES

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

DR. VICHETH THAY D.D.S. (NPI 1700081528) is an individual dentist in Northridge, California, licensed in California (46531) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700081528

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. VICHETH THAYCredential: D.D.S.

Location Address18250 ROSCOE BLVD STE 230Northridge, CA 91325-4269

Mailing Address18250 Roscoe Blvd Ste 230Northridge, CA 91325-4269 · (818) 885-1981 · Fax (818) 885-1937

Phone(818) 885-1981

Fax(818) 885-1937

Sole ProprietorNo

Enumeration DateJune 20, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1700081528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 46531

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.

18250 ROSCOE BLVD STE 230, Northridge, CA 91325

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Vicheth Thay 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.

Medicare Billing Reassignment

Medicare enrollment records show Vicheth Thay reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northeast Valley Health Corporation

4.2 mi

Federally Qualified Health Center (FQHC)

7107 REMMET AVE
Canoga Park, CA 91303

Reassigned Medicare billing, California enrollment
218 clinicians in this Medicare group

NPI 1740281120 (818) 340-3570

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91325 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

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

VICHETH THAY, DDS, INC.

Dentist

18250 ROSCOE BLVD STE 230
NORTHRIDGE, CA 91325

Los Angeles County (818) 885-1981

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 Vicheth Thay's NPI number?

The NPI number for Vicheth Thay is 1700081528. It was assigned to this individual provider in the NPPES registry on June 20, 2007.

Where is Vicheth Thay located?

Vicheth Thay practices at 18250 Roscoe Blvd Ste 230, Northridge, CA 91325. The listed phone number is (818) 885-1981.

What is Vicheth Thay's specialty?

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

Is Vicheth Thay enrolled in Medicare?

Yes. Vicheth Thay is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Vicheth Thay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vicheth Thay reassigns Medicare benefits to Northeast Valley Health Corporation (Canoga Park, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vicheth Thay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vicheth Thay accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Vicheth Thay 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 Vicheth Thay 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.