NPIMap

Organization Active NPI

Goodwin G. Thomas, Jr., D.M.D., P.a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rock Hill, SC
National Provider Identifier
1174648505
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2215 Issued in SC
Legal business name
GOODWIN G. THOMAS, JR., D.M.D., P.A.
Practice address
1033 Bayshore Dr
Rock Hill, SC 29732-1569
Phone
(803) 324-5396
Fax
(803) 325-1415
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Goodwin G Thomas Jr., D.M.D.
Title
Doctor Owner
Phone
(803) 324-5396

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 2215 SC Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 4206 SC

Addresses

Primary practice location

1033 Bayshore Dr
Rock Hill, SC 29732-1569

Mailing address

PO Box 4456
Rock Hill, SC 29732-6456
Phone (803) 324-5396

National Provider Directory

National Provider Directory

Locations

1033 Bayshore Dr
Rock Hill, SC 29732
Phone (803) 324-5396

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": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174648505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4456",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297326456",
            "telephone_number": "803-324-5396",
            "fax_number": "803-325-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 BAYSHORE DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321569",
            "telephone_number": "803-324-5396",
            "fax_number": "803-325-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWIN G. THOMAS, JR., D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "GOODWIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "803-324-5396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "2215",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "4206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • 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.