Organization Active NPI

Kenneth D. Thomas, DDS

  • General Practice Dentistry
  • Clarkston, MI
National Provider Identifier
1154920106
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KENNETH D. THOMAS, DDS
Practice address
6080 Dixie Hwy Ste a
Clarkston, MI 48346-3493
Phone
(248) 623-4990
NPI assigned
Oct 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Authorized official

Name
Vicki Thomas
Title
Office Manager
Phone
(248) 892-0001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6080 Dixie Hwy Ste a
Clarkston, MI 48346-3493

Mailing address

6080 Dixie Hwy Ste a
Clarkston, MI 48346-3493
Phone (248) 623-4990

Other practice location 1

6080 Dixie Hwy Ste A
Clarkston, MI 48346-3493
Phone (248) 623-4990

National Provider Directory

National Provider Directory

Locations

6080 Dixie Hwy
Ste A
Clarkston, MI 48346
Phone (248) 623-4990

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1154920106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 DIXIE HWY STE A",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463493",
            "telephone_number": "248-623-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 DIXIE HWY STE A",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463493",
            "telephone_number": "248-623-4990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6080 Dixie Hwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "MI",
            "postal_code": "483463493",
            "country_code": "US",
            "telephone_number": "248-623-4990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KENNETH D. THOMAS, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-892-0001"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.