Organization Active NPI

Thomas St. Germain, D.D.S., P.C.

  • General Practice Dentistry
  • Omaha, NE
National Provider Identifier
1255060406
Registry record updated Jun 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
THOMAS ST. GERMAIN, D.D.S., P.C.
Practice address
12021 Shamrock PLZ
Omaha, NE 68154-3533
Phone
(402) 330-2243
Fax
(402) 330-0408
NPI assigned
Jun 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2022

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

Authorized official

Name
Dr. Thomas Henry St Germain, DDSNPI 1679885982
Title
Ceo
Phone
(402) 968-2469

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

12021 Shamrock PLZ
Omaha, NE 68154-3533

Mailing address

12021 Shamrock PLZ
Omaha, NE 68154-3533
Phone (402) 330-2243

Other names 1

  • Pacific Hills Dental Doing business as

National Provider Directory

National Provider Directory

Locations

12021 Shamrock Plz
Omaha, NE 68154
Phone (402) 330-2243

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654387200000",
    "number": "1255060406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12021 SHAMROCK PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543533",
            "telephone_number": "402-330-2243",
            "fax_number": "402-330-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12021 SHAMROCK PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543533",
            "telephone_number": "402-330-2243",
            "fax_number": "402-330-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS ST. GERMAIN, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-05",
        "last_updated": "2022-06-05",
        "certification_date": "2022-06-05",
        "status": "A",
        "authorized_official_last_name": "ST GERMAIN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-968-2469",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Hills Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2022; 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.