Active NPI
Vineetha M Thomas, DMD
- General Practice Dentistry
- Elkins Park, PA
National Provider Identifier
1093879231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS024158L
- Practice address
- 8302 Old York Road
Suite B10
Elkins Park, PA 19027-1573 - Phone
- (215) 887-7171
- Fax
- (215) 885-5630
- NPI assigned
- Dec 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS024158L | PA | Primary |
Addresses
Primary practice location
8302 Old York Road
Suite B10
Elkins Park, PA 19027-1573
Mailing address
8302 Old York Road
Suite B10
Elkins Park, PA 19027-1573
Phone (215) 887-7171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 452630 | Other | PA | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS024158L | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MVP Family Dental,LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Jenkintown, PA
- NPI 1124446125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093879231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8302 OLD YORK ROAD",
"address_2": "SUITE B10",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190271573",
"telephone_number": "215-887-7171",
"fax_number": "215-885-5630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8302 OLD YORK ROAD",
"address_2": "SUITE B10",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190271573",
"telephone_number": "215-887-7171",
"fax_number": "215-885-5630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "VINEETHA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS024158L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "452630",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elkins Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.