Individual provider Active NPI

Anthony Sterling Thomas, DDS

  • Endodontics
  • Westminster, CO
National Provider Identifier
1194702332
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DEN.00202208 Issued in CO
Practice address
9409 Sheridan Blvd
Westminster, CO 80031-6532
Phone
(303) 305-4062
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE00009431 WA
Dentist 122300000X 0401008859 VA
Endodontics 1223E0200X 003922 SC
Endodontics 1223E0200X 00202208 CO
Endodontics 1223E0200X DEN.00202208 CO Primary

Addresses

Primary practice location

9409 Sheridan Blvd
Westminster, CO 80031-6532

Mailing address

577 Sternberg Ave
Fort Eustis, VA 23604-1526
Phone (757) 314-7944

Other practice location 1

577 Sternberg Ave
Fort Eustis, VA 23604-1526
Phone (757) 314-7944

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

LicenseStateTypeSpecialty
0401008859VAMDDentist
DE00009431WAMDDentist
00202208COMDEndodontist
DEN.00202208COMDEndodontist
003922SCMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
HQ US Army Dental Activities 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.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1194702332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 STERNBERG AVE",
            "city": "FORT EUSTIS",
            "state": "VA",
            "postal_code": "236041526",
            "telephone_number": "757-314-7944",
            "fax_number": "757-314-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9409 SHERIDAN BLVD",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800316532",
            "telephone_number": "303-305-4062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "577 Sternberg Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Eustis",
            "state": "VA",
            "postal_code": "236041526",
            "country_code": "US",
            "telephone_number": "757-314-7944",
            "fax_number": "757-314-7942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ANTHONY",
        "middle_name": "STERLING",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00009431",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401008859",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "SC",
            "license": "003922",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CO",
            "license": "00202208",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CO",
            "license": "DEN.00202208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.