Ethan Thien Ta, DMD
Ethan Thien Ta is a Dentist provider (Dentist) practicing in Camp Pendleton, CA, registered in the NPPES registry with NPI 1376432302 since 2025. The credential DMD stands for Doctor of Medicine in Dentistry.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1376432302 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Ethan Thien Ta |
| Credential | DMD |
| Sex | Male |
| Practice address | 200 MERCY CIRCLE, Camp Pendleton, CA, 92055 |
| Phone | 7607255870 |
| Enumeration date | 2025-07-02 |
| Last updated in NPPES | 2025-07-02 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | 111703 | CA |
DMD — Doctor of Medicine in Dentistry: A licensed dentist; DMD and DDS are equivalent dental degrees. About the DMD credential
Copy-ready billing details
Provider: Ethan Ta, DMD NPI: 1376432302 Taxonomy: 122300000X (Dentist) Address: 200 MERCY CIRCLE, Camp Pendleton, CA, 92055
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1366446601 | Brent Joseph | Individual | Physical Therapist | Oceanside, CA |
| 1083616783 | Dora Akuetteh-Saforo | Individual | Family Medicine Physician | Oceanside, CA |
| 1588656532 | Regina Albaladejo | Individual | Physical Therapist | Oceanside, CA |
| 1437143997 | Joel Peterson | Individual | Psychiatry Physician | Oceanside, CA |
| 1467449140 | Cheri Smiley | Individual | Orthodontics and Dentofacial Orthopedics Dentistry | Camp Pendleton, CA |
| 1043208101 | Grant Wallace | Individual | Diagnostic Radiology Physician | Oceanside, CA |
| 1073596276 | Priya Yellayi | Individual | Family Medicine Physician | Camp Pendleton, CA |
| 1649255415 | Wayne Murphy | Individual | Diagnostic Radiology Physician | Camp Pendleton, CA |
Verify this record
Cross-check NPI 1376432302 against the authoritative CMS record: view Ethan Thien Ta on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-07-02.