Organization Active NPI

Letrisha a. Thomas DDS., P.C.

  • Dentist
  • Columbia, MO
National Provider Identifier
1255749388
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2010019430 Issued in MO
Legal business name
LETRISHA A. THOMAS DDS., P.C.
Practice address
2600 Forum Blvd
Suite B2
Columbia, MO 65203-6343
Phone
(573) 446-3848
NPI assigned
Aug 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Authorized official

Name
Dr. Letrisha Ann Thomas, DDS
Title
President/Director
Phone
(573) 446-3848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2010019430 MO Primary

Addresses

Primary practice location

2600 Forum Blvd
Suite B2
Columbia, MO 65203-6343

Mailing address

2600 Forum Blvd
Suite B2
Columbia, MO 65203-6343
Phone (573) 446-3848

National Provider Directory

National Provider Directory

Locations

2600 Forum Blvd
Ste B2
Columbia, MO 65203
Phone (573) 228-5335

NPI Registry JSON

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1255749388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 FORUM BLVD",
            "address_2": "SUITE B2",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036343",
            "telephone_number": "573-446-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 FORUM BLVD",
            "address_2": "SUITE B2",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036343",
            "telephone_number": "573-446-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LETRISHA A. THOMAS DDS., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "LETRISHA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "573-446-3848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "2010019430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.