Brini Thomas, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40096 Issued in TX

Practice address

100 Hudson Oaks Dr Ste 110
Hudson Oaks, TX 76087-4709

Phone

(817) 717-9653

NPI assigned

Feb 8, 2021

Last updated

Nov 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1194317560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 DEL MAR DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750604882",
            "telephone_number": "972-268-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HUDSON OAKS DR STE 110",
            "city": "HUDSON OAKS",
            "state": "TX",
            "postal_code": "760874709",
            "telephone_number": "817-717-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BRINI",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "40096",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.032961",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Rae Rockett, APRN, FNP-C
• Lee R Salcido
• Johnathan Scala, PHARM.D.
• Pratik M Shah, PHARM.D.
• Dovi B Teko-Houngue
• Christina Ann Tolar
• Tyson Truong
• Lauren Lee Vincent, DDS
• Wal-Mart Stores Texas LLC (Walmart Pharmacy)
• Wal-Mart Stores Texas, LLC (Wal-Mart Vision Center 30-3431)

• General Practice Dentistry in Hudson Oaks, TX
• Providers in Hudson Oaks, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.