Organization Active NPI

Ronald D. Thoman DDS., PC.

  • Oral and Maxillofacial Surgery (Dentist)
  • Colorado Springs, CO
National Provider Identifier
1013922475
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
6376 Issued in CO
Legal business name
RONALD D. THOMAN DDS., PC.
Practice address
7730 N Union Blvd
Suite 103
Colorado Springs, CO 80920-4084
Phone
(719) 590-1500
Fax
(719) 590-9379
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Dr. Ronald D Thoman, DDS
Title
President
Phone
(719) 590-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 6376 CO Primary

Addresses

Primary practice location

7730 N Union Blvd
Suite 103
Colorado Springs, CO 80920-4084

Mailing address

7730 N Union Blvd
Suite 103
Colorado Springs, CO 80920-4084
Phone (719) 590-1500

Other identifiers 2

IdentifierTypeStateIssuer
04019899MedicaidCO
811466OtherMEDICARE ID-TYPE UNSPECIFIED

Other names 1

  • Oral and Maxillofacial Specialist PC. Doing business as

National Provider Directory

National Provider Directory

Locations

8580 Scarborough Dr
Ste 240
Colorado Springs, CO 80920
Phone (719) 590-1500

7730 N Union Blvd
Ste 103
Colorado Springs, CO 80920
Phone (719) 264-6070

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1013922475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7730 N UNION BLVD",
            "address_2": "SUITE 103",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204084",
            "telephone_number": "719-590-1500",
            "fax_number": "719-590-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 N UNION BLVD",
            "address_2": "SUITE 103",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809204084",
            "telephone_number": "719-590-1500",
            "fax_number": "719-590-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD D. THOMAN DDS., PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "THOMAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-590-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "6376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04019899",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "811466",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral and Maxillofacial Specialist PC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 20, 2008; 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.