Andrew Lee Thomasson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9692 Issued in TN

Practice address

106 E Due West Ave
Madison, TN 37115

Phone

(615) 865-1732

Fax

(615) 865-9223

NPI assigned

Jun 3, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1346687159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 CELEBRATION PARK CIR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622203267",
            "telephone_number": "615-804-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E DUE WEST AVE",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "37115",
            "telephone_number": "615-865-1732",
            "fax_number": "615-865-9223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1928 Celebration Park Cir",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622203267",
            "country_code": "US",
            "telephone_number": "615-804-3687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMASSON",
        "first_name": "ANDREW",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-03",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "9692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THOMASSON DENTAL",
            "identifier": "1376030106",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elias Samuel Thibado
• Thomas Martin DDS PLLC
• Keshia Thomas, BCBA
• Norman Thomas IV, CRNA
• Thomasson Dental PLLC
• Mark Henry Thomasson, DDS
• Philip Clark Thompson
• Logan Nils Thorne
• Emily Tibbs
• Brayden Davis Timmons, SRNA

• General Practice Dentistry in Madison, TN
• Providers in Madison, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.