Active NPI
Pedro Thomas, DMD
- Endodontics
- North Syracuse, NY
National Provider Identifier
1245377696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 049244-1
- Practice address
- 124 Northern Lights Dr
North Syracuse, NY 13212-4108 - Phone
- (315) 455-2411
- Fax
- (315) 455-2412
- NPI assigned
- Feb 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 049244-1 | NY | Primary |
Addresses
Primary practice location
124 Northern Lights Dr
North Syracuse, NY 13212-4108
Mailing address
PO Box 3189
Syracuse, NY 13220-3189
Phone (315) 454-6000
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
| License | State | Type | Specialty |
|---|---|---|---|
| 049244-1 | NY | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245377696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3189",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132203189",
"telephone_number": "315-454-6000",
"fax_number": "315-454-8650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 NORTHERN LIGHTS DR",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "132124108",
"telephone_number": "315-455-2411",
"fax_number": "315-455-2412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "PEDRO",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NY",
"license": "049244-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Syracuse, NY
Sources for this page
- 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.