James T. Thedford, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16228 Issued in TX

Practice address

12311 Nacogdoches Rd
Suite 206
San Antonio, TX 78217-2138

Phone

(210) 656-7600

Fax

(210) 656-7660

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• James T Thedford DDS, PA

  • Dental Clinic/Center
  • Schertz, TX
  • NPI 1215815592
  NPD Authorized official
• The Purple Cow Dental LLC

  • Dental Clinic/Center
  • Schertz, TX
  • NPI 1861370447
  NPD Authorized official

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417048984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12311 NACOGDOCHES RD",
            "address_2": "SUITE 206",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782172138",
            "telephone_number": "210-656-7600",
            "fax_number": "210-656-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12311 NACOGDOCHES RD",
            "address_2": "SUITE 206",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782172138",
            "telephone_number": "210-656-7600",
            "fax_number": "210-656-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEDFORD",
        "first_name": "JAMES",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONCORDIA",
            "identifier": "972335",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UC PROVIDER",
            "identifier": "468691",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Weston Group, Inc. (The Weston Health Care Group, Inc.)
• Alyxzandra Theall
• Joycelyn Marie Theard, MD
• Alycia Michele Thebado, SLP
• Theda Oaks Gastroenterology & Endoscopy Center, LLC
• Joan Theiler
• Richard R Theis, PHD
• Rose Rosario Theis
• Theodora Kulesza-Galvez MD PA (Galvez Family Medicine)
• Shasta Theodore, MD

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.