Individual provider Active NPI

Kristine Thomas, DMD

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1164553988
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4589 Issued in AZ
Practice address
7150 N 7TH St
Phoenix, AZ 85020-5300
Phone
(602) 230-0811
Fax
(602) 230-7735
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4589 AZ Primary

Addresses

Primary practice location

7150 N 7TH St
Phoenix, AZ 85020-5300

Mailing address

7150 N 7TH St
Phoenix, AZ 85020-5300
Phone (602) 230-0811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170306002085 AZ Order and Referring Only - Other (Non-Physician) 3476837782

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4589AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tempe Smiles Family Dental, PC General Practice PastSince Sep 8, 2019 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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164553988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205300",
            "telephone_number": "602-230-0811",
            "fax_number": "602-230-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205300",
            "telephone_number": "602-230-0811",
            "fax_number": "602-230-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KRISTINE",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.