Michael C Thomas, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D6822 Issued in OR

Practice address

2800 Foothills Blvd
Klamath Falls, OR 97603-3768

Phone

(541) 883-7409

Fax

(541) 850-8672

NPI assigned

May 24, 2007

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 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

Practice roles

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

• Michael C. Thomas, DMD, PC

  • Dental Clinic/Center
  • Klamath Falls, OR
  • NPI 1932266020
  NPD (past) Authorized official
• Jeffrey a. Englestadter, DMD, PC

  • Dental Clinic/Center
  • Klamath Falls, OR
  • NPI 1780741884
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336350917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 FOOTHILLS BLVD",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976033768",
            "telephone_number": "541-883-7409",
            "fax_number": "541-850-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 FOOTHILLS BLVD",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976033768",
            "telephone_number": "541-883-7409",
            "fax_number": "541-850-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D6822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Rose Thierolf-Franks
• Kelly Thies
• Donna Marie Thomas
• Dylan Milan Thomas
• Justin Lee Thomas, DPT
• Scott Aaron Thomas
• Susan Leigh Thomas, LPN,QMHA
• Taylor Thomas
• Travis Thomas
• Valerie Thomas

• Dentist in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.