Benjamin Lavarn Thomas, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D9134 Issued in OR

Practice address

895 Country Club Rd Ste C150
Eugene, OR 97401-2359

Phone

(541) 484-1235

Fax

(541) 431-0212

NPI assigned

Jul 16, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1306000518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 COUNTRY CLUB RD STE C150",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012359",
            "telephone_number": "541-484-1235",
            "fax_number": "541-431-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 COUNTRY CLUB RD STE C150",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012359",
            "telephone_number": "541-484-1235",
            "fax_number": "541-431-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BENJAMIN",
        "middle_name": "LAVARN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-16",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D9134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary J Thimmesch, L.AC., MSOM
• Thomas E. Houston, DMD, PC
• Amanda Thomas, LPN
• Angela Marie Thomas, L.C.S.W
• Anna Rene' Thomas, LPC
• Ellen B Thomas, L.C.S.W.
• Jeffrey Kenneth Thomas, O.D.
• Justin B Thomas, CPHT
• Kaitlynn Thomas
• Mackenzie Thomas

• Dentist in Eugene, OR
• Providers in Eugene, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.