Andrew J Thanos DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

10281 Issued in MI

Legal business name

ANDREW J THANOS DDS PC

Practice address

2012 10TH St
Menominee, MI 49858-2194

Phone

(906) 863-9203

Fax

(906) 863-9205

NPI assigned

Mar 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew John Thanos, DDSNPI 1295043651

Title

President

Phone

(906) 863-9203

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew John Thanos, DDS

  • Dentist
  • Menominee, MI
  • NPI 1295043651
  Authorized official Same address or phone

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104958420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 10TH ST",
            "city": "MENOMINEE",
            "state": "MI",
            "postal_code": "498582194",
            "telephone_number": "906-863-9203",
            "fax_number": "906-863-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 10TH ST",
            "city": "MENOMINEE",
            "state": "MI",
            "postal_code": "498582194",
            "telephone_number": "906-863-9203",
            "fax_number": "906-863-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW J THANOS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THANOS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "906-863-9203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "10281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alphabet Shuffle, LLC
• Payten Raye Andersen
• Madelynn Anderson
• Marlene Ann Anderson
• Jessica Jeanette Arkens, LLBSW
• Kristine Marie Axtell
• Kay Susan Baranczyk, APNP
• Pearl Barker
• Rebecca Beauchamp

• Dental Clinic/Center in Menominee, MI
• Providers in Menominee, MI by specialty
• Dental Clinic/Center in Michigan

• 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.