Thomas Hansen Godfrey, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-6936 Issued in NV

Practice address

1580 E Desert Inn Rd
Las Vegas, NV 89169-2548

Phone

(702) 466-2507

NPI assigned

Aug 5, 2013

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Tom Godfrey DMD PLLC

  dba Lone Mountain Dental

  • Dental Clinic/Center
  • Las Vegas, NV
  • NPI 1336800697
  NPD Authorized official
• Tom Godfrey DMD PLLC

  • General Practice Dentistry
  • Las Vegas, NV
  • NPI 1982568432
  NPD

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063844710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4818 W LONE MOUNTAIN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302239",
            "telephone_number": "702-655-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 E DESERT INN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891692548",
            "telephone_number": "702-466-2507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1490 Falcon Valley Hts",
            "address_2": "#308",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809214135",
            "country_code": "US",
            "telephone_number": "702-466-2507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4818 W Lone Mountain Rd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891302239",
            "country_code": "US",
            "telephone_number": "702-655-9533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODFREY",
        "first_name": "THOMAS",
        "middle_name": "HANSEN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-05",
        "last_updated": "2022-07-21",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "D-6936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Godfrey, OTD, OTR/L
• David Godfrey
• Holly Godfrey, CPC INTERN
• Jeffery Godfrey
• Lyeishia Godfrey
• Vanessa Godin, MD
• Giovanni Imanol Godinez Maza
• Diana K Godinez
• Kiara Godinez
• Magda Godinez

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.