Organization Active NPI

Thanos DDS Inc

  • Dental Clinic/Center
  • Moreno Valley, CA
National Provider Identifier
1184030769
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
29498 Issued in CA
Legal business name
THANOS DDS INC
Practice address
24104 Sunnymead Blvd # C
Moreno Valley, CA 92553
Phone
(951) 247-5538
Fax
(951) 242-7666
NPI assigned
Jul 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Authorized official

Name
Dr. Christos E Thanos, DENTIST
Title
Owner
Phone
(951) 247-5538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 29498 CA Primary

Addresses

Primary practice location

24104 Sunnymead Blvd # C
Moreno Valley, CA 92553

Mailing address

24104 Sunnymead Blvd Ste C
Moreno Valley, CA 92553-7732
Phone (951) 247-5538

National Provider Directory

National Provider Directory

Locations

24104 Sunnymead Blvd
Ste C
Moreno Valley, CA 92553
Phone (951) 242-0779

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": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1184030769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24104 SUNNYMEAD BLVD STE C",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925537732",
            "telephone_number": "951-247-5538",
            "fax_number": "951-242-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24104 SUNNYMEAD BLVD # C",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "92553",
            "telephone_number": "951-247-5538",
            "fax_number": "951-242-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THANOS DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "THANOS",
        "authorized_official_first_name": "CHRISTOS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-247-5538",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DENTIST"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "29498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.