Individual provider Active NPI

Abraham Kanjappallil Thomas, D.M.D.

  • General Practice Dentistry
  • Colorado Springs, CO
National Provider Identifier
1013067560
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8015 Issued in CO
Practice address
5426 N Academy Blvd
Ste 202
Colorado Springs, CO 80918-3685
Phone
(719) 266-5420
Fax
(719) 266-6988
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8015 CO Primary

Addresses

Primary practice location

5426 N Academy Blvd
Ste 202
Colorado Springs, CO 80918-3685

Mailing address

5426 N Academy Blvd
Ste 202
Colorado Springs, CO 80918-3685
Phone (719) 266-5420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8015COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Abraham K Thomas DMD PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013067560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5426 N ACADEMY BLVD",
            "address_2": "STE 202",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183685",
            "telephone_number": "719-266-5420",
            "fax_number": "719-266-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5426 N ACADEMY BLVD",
            "address_2": "STE 202",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183685",
            "telephone_number": "719-266-5420",
            "fax_number": "719-266-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ABRAHAM",
        "middle_name": "KANJAPPALLIL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.