Thomas L Demoss, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10497 Issued in WA

Practice address

228 W 1St St
Port Angeles, WA 98362-2639

Phone

(360) 452-4726

Fax

(360) 457-4331

NPI assigned

May 16, 2007

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184831703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 W 1ST ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983622639",
            "telephone_number": "360-452-4726",
            "fax_number": "360-457-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 W 1ST ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983622639",
            "telephone_number": "360-452-4726",
            "fax_number": "360-457-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMOSS",
        "first_name": "THOMAS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "10497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5052618",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Day
• Mikayla Deberry
• Kathleen Marie Delgado, SUDPT
• Samantha Della-Devoney, L.M.P.
• Nicole Marie Dematties
• Caleb Demott
• Isabelle Dennis
• Danielle A. Deoliveira, PMHNP-BC
• Margaret M Depew, ARNP
• Sharon Mack Derstine, ARNP

• General Practice Dentistry in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• General Practice Dentistry in Washington

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.