Susan Tina Thomas, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS038346 Issued in PA

Practice address

600 Lackawanna Ave
Suite 300
Scranton, PA 18503-2046

Phone

(570) 342-9136

NPI assigned

Jun 23, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr. Susan Thomas PLLC

  • Dental Clinic/Center
  • Park Ridge, IL
  • NPI 1780234039
  NPD Authorized official
• Albert a Hazzouri Jr DDS, Ms

  • Dentist
  • Scranton, PA
  • NPI 1306170055
  NPD (past)

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1043521131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E NORTH WATER ST",
            "address_2": "UNIT 3501",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606110815",
            "telephone_number": "713-471-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 LACKAWANNA AVE",
            "address_2": "SUITE 300",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185032046",
            "telephone_number": "570-342-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SUSAN",
        "middle_name": "TINA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Wright Center Medical Group (The Wright Center For Community Health)
• Therapy Unlimited, LLC
• Kassaundra Thiel
• Christopher Thomas
• Gregory Francis Thomas, D.O.
• Teresa Anne Thomas, BPHARM
• Lori A Thorpe, PT
• Thrift Drug Inc (Rite Aid Pharmacy 11069)
• Christopher John Tigue, LSW
• Deana T. Tigue, LSW

• General Practice Dentistry in Scranton, PA
• Providers in Scranton, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.

Verify at the official NPI Registry.