Individual provider Active NPI

David Pius Thomas, DMD

  • Dentist
  • Seattle, WA
National Provider Identifier
1205130002
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60964229 Issued in WA
Practice address
315 1St Ave N Apt 531
Seattle, WA 98109-4780
Phone
(702) 280-8134
NPI assigned
Jan 7, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 60964229 WA Primary

Addresses

Primary practice location

315 1St Ave N Apt 531
Seattle, WA 98109-4780

Mailing address

315 1St Ave N Apt 531
Seattle, WA 98109-4780

Other practice location 1

1516 E Tropicana Ave
Suite 245
Las Vegas, NV 89119-6525
Phone (702) 280-8134

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
60964229WAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1205130002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 1ST AVE N APT 531",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 1ST AVE N APT 531",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094780",
            "telephone_number": "702-280-8134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1516 E Tropicana Ave",
            "address_2": "Suite 245",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891196525",
            "country_code": "US",
            "telephone_number": "702-280-8134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DAVID",
        "middle_name": "PIUS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-07",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "60964229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.