IndividualActive
Watchariyaporn Thasai
NPI 1417823501 · Dentist · Chicago, IL
Watchariyaporn Thasai is a Dentist provider in Chicago, IL (NPI 1417823501).
Provider details
- NPI number
- 1417823501
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 019035849 (IL)
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
4901 N Kedzie Ave
Chicago, IL 60625-5009
Phone: (773) 895-9202
Street-level locationGet directions
Mailing address
404 E Clark St Apt 109
Champaign, IL 61820-5208
Registry dates
- Enumerated
- 2025-10-15
- Last updated
- 2025-12-08
- Certified
- 2025-12-08
Frequently asked questions
- What is Watchariyaporn Thasai's NPI number?
- Watchariyaporn Thasai's National Provider Identifier (NPI) is 1417823501, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Watchariyaporn Thasai's specialty?
- Watchariyaporn Thasai is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Watchariyaporn Thasai located?
- Watchariyaporn Thasai's practice location on file with NPPES is 4901 N Kedzie Ave, Chicago, IL 60625-5009.
- What is Watchariyaporn Thasai's phone number?
- The practice phone number listed in the NPPES registry for Watchariyaporn Thasai is (773) 895-9202.
- Is Watchariyaporn Thasai's NPI active?
- Yes — Watchariyaporn Thasai's NPI (1417823501) is active in the NPPES registry as of the last update on 2025-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.