Organization Active NPI

David R. Thomason, D.M.D.,PC

  • Dentist
  • Augusta, GA
National Provider Identifier
1053465690
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN009209 Issued in GA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
813058OtherUNITED CONCORDIA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.