Active NPI
Michael Thomas, DMD
- Dentist
- Cameron Park, CA
National Provider Identifier
1194241018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS104459
- Practice address
- 970 Camerado Dr Ste 100
Cameron Park, CA 95682-7636 - Phone
- (530) 677-0723
- NPI assigned
- Aug 22, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS104459 | CA | Primary |
| Dentist | 122300000X | 5488428-9922 | UT | |
| Dentist | 122300000X | DEN.00203286 | CO |
Addresses
Primary practice location
970 Camerado Dr Ste 100
Cameron Park, CA 95682-7636
Mailing address
1413 Byrne CT
Folsom, CA 95630-8428
Phone (801) 376-9136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS104459 | CA | MD | Dentist |
| DEN.00203286 | CO | MD | Dentist |
| 5488428-9922 | UT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Couch and Hammond Dentistry Partnership | Dentist | Past | 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.
-
- Dentist
- Cameron Park, CA
- NPI 1891192597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598486400000",
"number": "1194241018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1413 BYRNE CT",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956308428",
"telephone_number": "801-376-9136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 CAMERADO DR STE 100",
"city": "CAMERON PARK",
"state": "CA",
"postal_code": "956827636",
"telephone_number": "530-677-0723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-22",
"last_updated": "2020-08-27",
"certification_date": "2020-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS104459",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "5488428-9922",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "DEN.00203286",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cameron Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.