Thomas Sudibjo, DMD
General Practice Dentistry · Tustin, CA
Thomas Sudibjo, DMD is a general practice dentistry with a practice address in Tustin, California, and NPI 1891834099, issued on Feb 5, 2007. Check the license (California 45983, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Thomas Sudibjo
- Credential
- DMD
- Primary taxonomy
- General Practice Dentistry 1223G0001X
- License number
- 45983 CA
Self-reported in NPPES; status is on the state search - Practice location
- 1096 Irvine Blvd, Tustin, CA 92780
- Phone
- (714) 838-6777
- Enumerated
- Feb 5, 2007
- Record last updated
- Aug 7, 2026
- Fax
- (714) 838-8277
- Entity
- Type 1 · individual
8 nearest general practice dentistry records → All 17,852 in California → Look up another NPI →
Verify Thomas Sudibjo in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license 45983Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
77% fewer Medicare Part D claims than the average general practice dentistry in 2024
19 Medicare Part D claims, against an average of 83 among the 70,290 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $64.74
2 payments; by number, the most common kind was food and beverage; the largest payer was Kuraray America Inc. The 41,669 providers of this specialty with any payment received $597.01 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Thomas Sudibjo among 17,852 general practice dentistry records in California
Thomas Sudibjo, DMD is one of 17,852 general practice dentistry records with a practice address in California. 57% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 29% of them.
- NPI issued2007 · 29% of these records are older, 40% newer
- In a Medicare fileYes · 57% of these records are
- In the CMS Doctors and Clinicians fileNo · under 1% of these records are
- Record last updated2026 · 79% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223G0001X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
88 general practice dentistry records list a practice address in Tustin
They are 88 of the 2,221 NPPES records with a practice address in Tustin, and 17,852 general practice dentistry records in California.
All 17,852 in California → Every provider in Tustin → General Practice Dentistry nationwide →
The 8 general practice dentistry records with the nearest ZIP codes
- Jafar Assaf, DDSTustin, CA 927801336153287
- Guy Biagiotti, DDSTustin, CA 927801740206986
- Pishya Chamkasem, DDSTustin, CA 927801205852761
- Andrew Chu, D.D.S.Tustin, CA 927801568422285
- Maureen Dornan, D.D.S.Tustin, CA 927801477559896
- Baher Fahmy, DDS.Tustin, CA 927801821100264
- Vinod Hattiangadi, DDSTustin, CA 927801265445076
- Kyung Kim, D.D.S.Tustin, CA 927801871541540
Common questions
What is Thomas Sudibjo, DMD's NPI number?
Thomas Sudibjo, DMD's National Provider Identifier (NPI) is 1891834099, issued on Feb 5, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Thomas Sudibjo, DMD located?
The NPPES record lists a practice address at 1096 Irvine Blvd, Tustin, CA, 92780. Phone: (714) 838-6777. Providers update this record themselves, so call before visiting.
How can I verify Thomas Sudibjo, DMD's license?
NPPES lists California license number 45983, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
How much does Thomas Sudibjo, DMD prescribe under Medicare Part D?
In 2024, Thomas Sudibjo, DMD had 19 Medicare Part D claims; the average among general practice dentistry prescribers was 83. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.