Thomas William Pickett Jr., D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

30024 Issued in TX

Practice address

9100 Forest Xing Ste B
The Woodlands, TX 77381-1194

Phone

(281) 363-1571

NPI assigned

Jul 10, 2014

Last updated

Apr 8, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• East Texas Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Nacogdoches, TX
  • NPI 1255367090
  NPD (past)

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1255747127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 FOREST XING STE B",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773811194",
            "telephone_number": "281-363-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 FOREST XING STE B",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773811194",
            "telephone_number": "281-363-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "THOMAS",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-10",
        "last_updated": "2022-04-08",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aeriell Phillips, LMP
• Katherine Phillips, DDS
• Laura J Phillips, MPT
• Physician Relief Services PA
• Physicians of the Woodlands PLLC
• Zelina Moncivais Pickett, D.D.S.
• Christine R Piefer, MD
• Jason William Piefer, MD
• Francine Pierson
• Thomas Takashi Pignetti, DPM

• Dentist in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.