David E Thomas, DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-1857 Issued in ID

Practice address

616 S 10TH Ave
Caldwell, ID 83605-4112

Phone

(208) 454-0473

Fax

(208) 454-2633

NPI assigned

Aug 19, 2006

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)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1215041686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 S 10TH AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054112",
            "telephone_number": "208-454-0473",
            "fax_number": "208-454-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 S 10TH AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054112",
            "telephone_number": "208-454-0473",
            "fax_number": "208-454-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DAVID",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS, PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-1857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022470",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teton Radiology Caldwell
• Robert Slade Thacker, APRN CFNP
• The Therapist Edge PLLC
• Cheryl Renee Thibault, F.N.P.C
• Thomas Jefferson Charter School
• Mary Linda Thomas, LCSW
• Jeffrey A Thomason, PT
• Harold Thompson, MD
• Thrifty Payless Inc
• Nathan Tillotson

• General Practice Dentistry in Caldwell, ID
• Providers in Caldwell, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.