Jo Ann Thiel, D.D.S., P.A

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15461 Issued in TX

Practice address

4695 N Colony Blvd
104
The Colony, TX 75056-3302

Phone

(972) 625-0213

Fax

(972) 624-1988

NPI assigned

Aug 27, 2006

Last updated

Jul 8, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Custom Dental of the Colony, PLLC

  • Dental Clinic/Center
  • The Colony, TX
  • NPI 1568123719
  NPD (past)

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194833574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4695 N COLONY BLVD",
            "address_2": "104",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750563302",
            "telephone_number": "972-625-0213",
            "fax_number": "972-624-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4695 N COLONY BLVD",
            "address_2": "104",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750563302",
            "telephone_number": "972-625-0213",
            "fax_number": "972-624-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIEL",
        "first_name": "JO ANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S., P.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Colony Inn LLC
• The Colony Pharmacy LLC (TheColonyRX Pharmacy)
• The Colony Total Wellness Clinic, PLLC
• The Main Street Dental Depot, PLLC
• The Regenerative Institute of Texas
• Binu Thomas, DPT
• Jaziyia Thomas
• Whitford Thomas, PT
• Melanie Thrasher-Igori
• Thrashers Nest

• General Practice Dentistry in The Colony, TX
• Providers in The Colony, 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 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.