Individual provider Active NPI

James Philip Thomas Jr., D.D.S

  • Endodontics
  • Rochester Hills, MI
National Provider Identifier
1063619492
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
2901019657 Issued in MI
Practice address
480 W Tienken Rd Ste C
Rochester Hills, MI 48306-4475
Phone
(248) 941-0024
NPI assigned
Jun 29, 2007
Last updated
Dec 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 2901019657 MI Primary
General Practice Dentistry 1223G0001X 2901019657 MI

Addresses

Primary practice location

480 W Tienken Rd Ste C
Rochester Hills, MI 48306-4475

Mailing address

480 W Tienken Rd Ste C
Rochester Hills, MI 48306-4475
Phone (248) 321-0007

Other practice location 1

480 W Tienken Rd
Rochester Hills, MI 48306-4475
Phone (248) 652-7770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20191217001578 MI Order and Referring Only - DentistPractitioner - Dentist 4587969027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
2901019657MIMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Endodontics, PLLC Endodontics CurrentSince Dec 18, 2022 Accepting new patients
James P Thomas Jr. DDS, PLC Endodontics CurrentSince May 24, 2020 Accepting new patients

Locations

480 W Tienken Rd
Rochester Hills, MI 48306
Phone (248) 651-7800

480 W Tienken Rd
Ste C
Rochester Hills, MI 48306
Phone (248) 941-0024

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1063619492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 W TIENKEN RD STE C",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483064475",
            "telephone_number": "248-321-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 W TIENKEN RD STE C",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483064475",
            "telephone_number": "248-941-0024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 W Tienken Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483064475",
            "country_code": "US",
            "telephone_number": "248-652-7770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JAMES",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MI",
            "license": "2901019657",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019657",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.