Active NPI
David R. Thomason, D.M.D.,PC
- Dentist
- Augusta, GA
National Provider Identifier
1053465690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN009209
- Legal business name
- DAVID R. THOMASON, D.M.D.,PC
- Practice address
- 3136 Deans Bridge Rd
Augusta, GA 30906-9348 - Phone
- (706) 790-3011
- NPI assigned
- Jan 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David R. Thomason, D.M.D.
- Title
- President
- Phone
- (706) 790-3011
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN009209 | GA | Primary |
Addresses
Primary practice location
3136 Deans Bridge Rd
Augusta, GA 30906-9348
Mailing address
3136 Deans Bridge Rd
Augusta, GA 30906-9348
Phone (706) 790-3011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 813058 | Other | UNITED CONCORDIA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1053465690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3136 DEANS BRIDGE RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309069348",
"telephone_number": "706-790-3011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3136 DEANS BRIDGE RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309069348",
"telephone_number": "706-790-3011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID R. THOMASON, D.M.D.,PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "THOMASON",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "706-790-3011",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "GA",
"license": "DN009209",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "813058",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.