Active NPI
Thomas Shelwah Hom, D.M.D.
- Dentist
- New York, NY
National Provider Identifier
1114916459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 032253
- Practice address
- 185 Park Row
Suite 9
New York, NY 10038-5000 - Phone
- (212) 732-1329
- Fax
- (212) 732-6005
- NPI assigned
- Oct 19, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 032253 | NY | Primary |
Addresses
Primary practice location
185 Park Row
Suite 9
New York, NY 10038-5000
Mailing address
185 Park Row
Suite 9
New York, NY 10038-5000
Phone (212) 732-1329
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00306083 | Medicaid | NY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032253 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas S. Hom Dmdpc | 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.
-
- Dental Clinic/Center
- New York, NY
- NPI 1154741940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429574400000",
"number": "1114916459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 PARK ROW",
"address_2": "SUITE 9",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100385000",
"telephone_number": "212-732-1329",
"fax_number": "212-732-6005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 PARK ROW",
"address_2": "SUITE 9",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100385000",
"telephone_number": "212-732-1329",
"fax_number": "212-732-6005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOM",
"first_name": "THOMAS",
"middle_name": "SHELWAH",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2015-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "032253",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00306083",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.