Shernel Thomas, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901600946 Issued in MI

Practice address

1525 E Chicago Rd
Sturgis, MI 49091-1991

Phone

(269) 651-7760

NPI assigned

Jun 4, 2021

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1104493667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 THOMPSON ST",
            "address_2": "3055 MUNGER RESIDENCES",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042414",
            "telephone_number": "240-264-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E CHICAGO RD",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490911991",
            "telephone_number": "269-651-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SHERNEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901600946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sturgis Optical Company
• Sturgis Surgicare
• Michel Mandela Linze Tchonang
• Amanda Thaxton
• Therapy Center of Southwest Michigan
• Charles R Thompson, RPH
• Robin K Thompson, M.D.
• Tracie Ladonya Thompson
• Thurston at Home, Inc.
• Thurston Woods Village, Inc.

• General Practice Dentistry in Sturgis, MI
• Providers in Sturgis, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.