David E Thomas, DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-1857 Issued in ID

Legal business name

DAVID E THOMAS, DDS PA

Practice address

616 S 10TH Ave
Caldwell, ID 83605-4112

Phone

(208) 454-0473

Fax

(208) 454-2633

NPI assigned

Jun 10, 2008

Organization subpart

No

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

Authorized official

Name

Marie Clark

Title

Office Manager

Phone

(208) 454-0473

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1366602773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 S 10TH AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054112",
            "telephone_number": "208-454-0473",
            "fax_number": "208-454-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 S 10TH AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054112",
            "telephone_number": "208-454-0473",
            "fax_number": "208-454-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID E THOMAS, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "208-454-0473"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-1857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022470",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002768200",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael T Daines, M.D.
• Katie E Dallas
• Doug Dammrose, M.D., D.D.S.
• Hasan Dani, M.D.
• Darin R. Mooso
• Brenda S Davies, MD
• Cameron Gregory Davis
• Hector De Leon, LSW, CADC
• Selene Delgado Caldera, APRN-CNP
• Holle Delgado

• General Practice Dentistry in Caldwell, ID
• Providers in Caldwell, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.