Terry M Thomas, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DE00004140 Issued in WA

Practice address

9714 3Rd Ave NE
Suite 204
Seattle, WA 98115-2046

Phone

(206) 523-1834

Fax

(206) 523-3846

NPI assigned

Feb 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205979309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9714 3RD AVE NE",
            "address_2": "SUITE 204",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98115",
            "telephone_number": "206-523-1834",
            "fax_number": "206-523-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9714 3RD AVE NE",
            "address_2": "SUITE 204",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981152046",
            "telephone_number": "206-523-1834",
            "fax_number": "206-523-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TERRY",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE00004140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5541008",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunu Samuel Thomas, MD
• Susan A. Thomas, LMP
• Sydney Corrie Eileen Thomas
• Tamra Ann Thomas
• Tara Elizabeth Thomas, LDN
• Todd Thomas, LMT
• Todd Warren Thomas, MSW, CTRS
• Victory Lynn Thomas
• Whitney Thomas, PA-C
• Whitney Sue Thomas, DPT

• Periodontics in Seattle, WA
• Providers in Seattle, WA by specialty
• Periodontics in Washington

• 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.