Active NPI
Sheela Thomas
- General Practice Dentistry
- Quinlan, TX
National Provider Identifier
1356409452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 21088
- Practice address
- 711 E Quinlan Pkwy
Quinlan, TX 75474-8641 - Phone
- (903) 356-5319
- NPI assigned
- Dec 4, 2006
- Last updated
- Jun 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 21088 | TX | Primary |
Addresses
Primary practice location
711 E Quinlan Pkwy
Quinlan, TX 75474-8641
Mailing address
PO Box 940
Quinlan, TX 75474-0016
Phone (903) 356-5319
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160321001441 | TX | Order and Referring Only - Dentist | 5890009435 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21088 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622764800000",
"number": "1356409452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 940",
"city": "QUINLAN",
"state": "TX",
"postal_code": "754740016",
"telephone_number": "903-356-5319",
"fax_number": "903-356-5304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 E QUINLAN PKWY",
"city": "QUINLAN",
"state": "TX",
"postal_code": "754748641",
"telephone_number": "903-356-5319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "SHEELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2021-06-04",
"certification_date": "2021-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "21088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quinlan, TX
- Rosalinda Lucatero Solis
- Jennie L Squires
- Texas Em-I Medical Services PA
- James E Theken Jr., DDS
- Rebecca L Thomas, NP-C
- Tanya Lynn Todd, PTA
- Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-4215)
- Wal-Mart Stores Texas, LLC (Wal-Mart Vision Center 30-4215)
- Jessica Renee Waldrep, LAT
- Walgreen Co (Walgreens #21514)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.