Mathew Michael Thomas

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.027521 Issued in OH

Practice address

4049 Dayton Xenia Rd Ste 200
Beavercreek, OH 45432-1954

Phone

(937) 429-3880

NPI assigned

May 10, 2024

Last updated

May 10, 2024By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Beavercreek Family Dental Gregory J Austria DDS LLC

  dba Brilliant Smiles

  • Dentist
  • Beavercreek, OH
  • NPI 1124491691
  NPD (past)

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1326896614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 S HORNING RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449038625",
            "telephone_number": "614-266-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4049 DAYTON XENIA RD STE 200",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454321954",
            "telephone_number": "937-429-3880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1313 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432053500",
            "country_code": "US",
            "telephone_number": "614-252-1118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MATHEW",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.027521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Dayton Heart Center, Inc.
• The Little Clinic of Ohio LLC
• Therapy Connections, LLC
• Ben Harley Thomas, D.O.
• Marcia J Thomas, MD
• Nichole Lynn Thomas, RN
• Elizabeth Joann Thomasson, LMT
• Michelle R Thompson
• David J Tieman, LPCC
• Leslie Nurre Timperman, RN

• General Practice Dentistry in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.