Active NPI
Jonathon V. Thomas, DDS,PC
Doing business as Bedlam Smiles
- General Practice Dentistry
- Anadarko, OK
National Provider Identifier
1437249737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5295
- Legal business name
- JONATHON V. THOMAS, DDS,PC
- Doing business as
- Bedlam Smiles
- Practice address
- 310 SE 11TH St
Anadarko, OK 73005-4446 - Phone
- (405) 247-7676
- Fax
- (405) 247-1153
- NPI assigned
- Oct 15, 2006
- Last updated
- Aug 12, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Robin K Thomas
- Title
- Co-Owner/Office Manager
- Phone
- (405) 247-7676
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5295 | OK | Primary |
Addresses
Primary practice location
310 SE 11TH St
Anadarko, OK 73005-4446
Mailing address
PO Box 338
Anadarko, OK 73005-0338
Phone (405) 247-7676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100091680A | Medicaid | OK |
Other names 1
- Bedlam Smiles
National Provider Directory
National Provider Directory- Tax ID family
- Bedlam Smiles
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
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.
-
- General Practice Dentistry
- Anadarko, OK
- NPI 1922230721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1250035200000",
"number": "1437249737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 338",
"city": "ANADARKO",
"state": "OK",
"postal_code": "730050338",
"telephone_number": "405-247-7676",
"fax_number": "405-247-1153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 SE 11TH ST",
"city": "ANADARKO",
"state": "OK",
"postal_code": "730054446",
"telephone_number": "405-247-7676",
"fax_number": "405-247-1153"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JONATHON V. THOMAS, DDS,PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-15",
"last_updated": "2009-08-12",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "ROBIN",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CO-OWNER/OFFICE MANAGER",
"authorized_official_telephone_number": "405-247-7676",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "5295",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100091680A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bedlam Smiles",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Anadarko, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.