Organization Active NPI

Leah Thomas DDS LLC

Doing business as Avenue Family Dentistry

  • Dentist
  • Lowell, IN
National Provider Identifier
1346978541
Registry record updated Mar 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LEAH THOMAS DDS LLC
Doing business as
Avenue Family Dentistry
Practice address
320 E Commercial Ave
Lowell, IN 46356-1780
Phone
(219) 690-8866
NPI assigned
Aug 15, 2022
Last updated
Mar 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2023

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

Authorized official

Name
Dr. Leah Thomas, DDS
Title
DDS/Owner
Phone
(219) 614-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

320 E Commercial Ave
Lowell, IN 46356-1780

Mailing address

12372 Woodmar PL
Cedar Lake, IN 46303-8060
Phone (219) 614-6000

Other names 1

  • Avenue Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

320 E Commercial Ave
Lowell, IN 46356
Phone (219) 690-8866

322 E Commercial Ave
Lowell, IN 46356

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678492800000",
    "number": "1346978541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12372 WOODMAR PL",
            "city": "CEDAR LAKE",
            "state": "IN",
            "postal_code": "463038060",
            "telephone_number": "219-614-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E COMMERCIAL AVE",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "463561780",
            "telephone_number": "219-690-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAH THOMAS DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2023-03-11",
        "certification_date": "2023-03-11",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "219-614-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avenue Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lowell, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2023; 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.