Active NPI
Jasmine Thomas, DDS
- General Practice Dentistry
- Indianapolis, IN
National Provider Identifier
1437796182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12013258A
- Practice address
- 2340 E 10TH St
Indianapolis, IN 46201-2008 - Phone
- (317) 957-2450
- NPI assigned
- Dec 2, 2019
- 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 | 12013258A | IN | Primary |
Addresses
Primary practice location
2340 E 10TH St
Indianapolis, IN 46201-2008
Mailing address
1563 Sierra SPGS
Carmel, IN 46280-2710
Other practice location 1
1040 N Rangeline Rd Ste B
Carmel, IN 46032-1470
Phone (317) 846-3436
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300034619 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710460800000",
"number": "1437796182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1563 SIERRA SPGS",
"city": "CARMEL",
"state": "IN",
"postal_code": "462802710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2340 E 10TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462012008",
"telephone_number": "317-957-2450"
}
],
"practiceLocations": [
{
"address_1": "1040 N Rangeline Rd Ste B",
"address_purpose": "LOCATION",
"city": "Carmel",
"state": "IN",
"postal_code": "460321470",
"country_code": "US",
"telephone_number": "317-846-3436",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "JASMINE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-02",
"last_updated": "2024-03-15",
"certification_date": "2024-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12013258A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300034619",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.