IndividualActive
Teerarat Phuatrakoon
NPI 1194619155 · Periodontics · Roseville, CA
Teerarat Phuatrakoon is a Periodontics provider in Roseville, CA (NPI 1194619155).
Provider details
- NPI number
- 1194619155
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- DDS107567 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1623 Santa Clara Dr Ste 100
Roseville, CA 95661-3589
Phone: (916) 788-1114
Street-level locationGet directions
Mailing address
Po Box 1266
Rancho Cucamonga, CA 91729-1266
Registry dates
- Enumerated
- 2025-06-04
- Last updated
- 2025-11-24
- Certified
- 2025-11-24
Frequently asked questions
- What is Teerarat Phuatrakoon's NPI number?
- Teerarat Phuatrakoon's National Provider Identifier (NPI) is 1194619155, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Teerarat Phuatrakoon's specialty?
- Teerarat Phuatrakoon is listed in the NPPES registry with a primary specialty of Periodontics (Dental Providers).
- Where is Teerarat Phuatrakoon located?
- Teerarat Phuatrakoon's practice location on file with NPPES is 1623 Santa Clara Dr Ste 100, Roseville, CA 95661-3589.
- What is Teerarat Phuatrakoon's phone number?
- The practice phone number listed in the NPPES registry for Teerarat Phuatrakoon is (916) 788-1114.
- Is Teerarat Phuatrakoon's NPI active?
- Yes — Teerarat Phuatrakoon's NPI (1194619155) is active in the NPPES registry as of the last update on 2025-11-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.