Jubin Thomas, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN27389 Issued in FL

Practice address

2201 NW Corporate Blvd Ste 103
Boca Raton, FL 33431-7337

Phone

(561) 347-7006

NPI assigned

Jun 20, 2022

Last updated

Sep 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• JT Pharmacy LLC

  dba Florida Avenue Pharmacy

  • Community/Retail Pharmacy
  • Tampa, FL
  • NPI 1255206801
  NPD

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1467183657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 NW CORPORATE BLVD STE 103",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 NW CORPORATE BLVD STE 103",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317337",
            "telephone_number": "561-347-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JUBIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-20",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN27389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Janelle Thoden, AU. D
• Thomas Dental PLLC
• Angel Annie Thomas
• Bernelda Janessa Thomas, M.S CCC-SLP
• James Thomas
• Keyani Thomas
• Kristin Thomas, LMHC, NCC
• Madison Alexandra Thomas
• Maria Nichole Thomas, ARNP
• Sijo Thomas Sr.

• Pediatric Dentistry in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.

Verify at the official NPI Registry.