Organization Active NPI

Jonathon V. Thomas, DDS

Doing business as Bedlam Smiles

  • General Practice Dentistry
  • Chickasha, OK
National Provider Identifier
1295945814
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5295 Issued in OK
Legal business name
JONATHON V. THOMAS, DDS
Doing business as
Bedlam Smiles
Practice address
823 W Chickasha Ave
Chickasha, OK 73018-2307
Phone
(405) 224-1727
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Authorized official

Name
Dr. Jonathon Van Thomas, DDS
Title
Dentist
Phone
(405) 224-1727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5295 OK Primary

Addresses

Primary practice location

823 W Chickasha Ave
Chickasha, OK 73018-2307

Mailing address

PO Box 340
Chickasha, OK 73023-0340
Phone (405) 224-1727

Other identifiers 1

IdentifierTypeStateIssuer
100091680AMedicaidOK

Other names 1

  • Bedlam Smiles Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bedlam Smiles2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

823 W Chickasha Ave
Chickasha, OK 73018
Phone (405) 224-1727

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1295945814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730230340",
            "telephone_number": "405-224-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 W CHICKASHA AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182307",
            "telephone_number": "405-224-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHON V. THOMAS, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "405-224-1727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100091680A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bedlam Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chickasha, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.