Active NPI
David Austin Thomas III, D.D.S.
- General Practice Dentistry
- Terrell, TX
National Provider Identifier
1013037225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11738
- Practice address
- 803 N Rockwall St
Terrell, TX 75160-2120 - Phone
- (972) 563-2642
- NPI assigned
- Mar 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11738 | TX | Primary |
Addresses
Primary practice location
803 N Rockwall St
Terrell, TX 75160-2120
Mailing address
803 N Rockwall St
Terrell, TX 75160-2120
Phone (972) 563-2642
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160411001148 | TX | Order and Referring Only - Dentist | 6901104850 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013037225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 N ROCKWALL ST",
"city": "TERRELL",
"state": "TX",
"postal_code": "751602120",
"telephone_number": "972-563-2642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 N ROCKWALL ST",
"city": "TERRELL",
"state": "TX",
"postal_code": "751602120",
"telephone_number": "972-563-2642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "DAVID",
"middle_name": "AUSTIN",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "11738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Terrell, TX
- Terrell Womens Health Center (WW Womens Health)
- Terri Ordahl Psy D PLLC
- Texas Dentistry for Kids Terrell, PLLC
- Texas Em-I Medical Services, PA
- Texas Emergency Room Services, PA
- Stephanie Mariya Thomas, DDS
- Walter Irving Thomas II, RPH
- William O Thomason, PH.D
- Ana Gabriela Torres-Rojas, FNP-C
- Mary Travis, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.