Individual provider Active NPI

Robin M. Thoman, DDS

  • General Practice Dentistry
  • Indianapolis, IN
National Provider Identifier
1386765030
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12008941 Issued in IN
Practice address
4950 E Stop 11 Rd
Ste a
Indianapolis, IN 46237
Phone
(317) 865-1300
Fax
(317) 782-1300
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12008941 IN Primary

Addresses

Primary practice location

4950 E Stop 11 Rd
Ste a
Indianapolis, IN 46237

Mailing address

4950 E Stop 11 Rd
Ste a
Indianapolis, IN 46237
Phone (317) 865-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20130905000441 IN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5193965564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12008941INMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1386765030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 E STOP 11 RD",
            "address_2": "STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46237",
            "telephone_number": "317-865-1300",
            "fax_number": "317-782-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 E STOP 11 RD",
            "address_2": "STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46237",
            "telephone_number": "317-865-1300",
            "fax_number": "317-782-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAN",
        "first_name": "ROBIN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12008941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.