Phelan Rico Thomas, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

07198 Issued in IA

Practice address

4100 University Ave
Suite 105
West Des Moines, IA 50266-5956

Phone

(515) 223-8800

Fax

(515) 223-1437

NPI assigned

Nov 16, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Fishomen P.C.

  dba iowa center for cosmetic dentistry

  • General Practice Dentistry
  • West Des Moines, IA
  • NPI 1700053006
  NPD (past) Authorized official

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144393034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 UNIVERSITY AVE STE 105",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665958",
            "telephone_number": "515-223-8800",
            "fax_number": "515-223-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 UNIVERSITY AVE",
            "address_2": "SUITE 105",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665956",
            "telephone_number": "515-223-8800",
            "fax_number": "515-223-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "PHELAN",
        "middle_name": "RICO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "07198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE NUMBER",
            "identifier": "07198",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thiele Chiropractic & Wellness, LLC
• Cory M Thiele, D.C.
• Thomas K Koithan PC
• Alayna Thomas
• Elizabeth Christine Thomas
• Megan Elizabeth Thompson-Hansen, LISW
• Antoinette M Thompson, ARNP
• Colleen Adele Thompson, NURSE PRACTITIONER
• Joe Thompson
• Katie Thompson, DNP, ARNP

• Dentist in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Dentist in Iowa

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.