Thomas Henry DDS PS Dba Canyon Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

10731 Issued in WA

Legal business name

THOMAS HENRY DDS PS DBA CANYON ORTHODONTICS

Doing business as

Canyon Orthodontics

Practice address

5620 112TH St E
Suite 255
Puyallup, WA 98373-3206

Phone

(253) 256-4000

Fax

(253) 770-9638

NPI assigned

Jun 8, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Henry, DDS

Title

Owner/Dentist

Phone

(253) 256-4000

Specialties & licenses 2

Addresses

Other names 1

• Canyon Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1447630116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 112TH ST E",
            "address_2": "SUITE 255",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733206",
            "telephone_number": "253-256-4000",
            "fax_number": "253-770-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 112TH ST E",
            "address_2": "SUITE 255",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733206",
            "telephone_number": "253-256-4000",
            "fax_number": "253-770-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS HENRY DDS PS DBA CANYON ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "253-256-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "5432",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "10731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Therapy Management Services, PLLC
• Jesse Ryan Thibert, LMT
• Jillian Thiel
• Think PLLC
• Nicole Elizabeth Thomann, BCBA
• David Garland Thomas, DMD
• Erin Christine Thomas
• Juby Thomas, PHARM,D,
• Kerri A Thomas, LMP
• Michael Lauckner Thomas, LMHCA, MT-BC

• Orthodontics and Dentofacial Orthopedics Dentistry in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.