Active NPI
Dallin Ray Thomas, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Chapel Hill, NC
National Provider Identifier
1477247252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 13276
- Practice address
- 101 Manning Dr BLDG 2
Chapel Hill, NC 27514-4423 - Phone
- (984) 974-7835
- Fax
- (984) 974-0290
- NPI assigned
- Jun 6, 2023
- Last updated
- Jun 21, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 13276 | NC | Primary |
Addresses
Primary practice location
101 Manning Dr BLDG 2
Chapel Hill, NC 27514-4423
Mailing address
304 Colt Hwy Apt 31
Farmington, CT 06032-3075
Phone (970) 231-8252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230703001822 | NC | Order and Referring Only - Oral Surgery | 5395104707 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13276 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of North Carolina Hospitals at Chapel Hill | Past | Accepting new patients |
Interoperability endpoints
- dthomas1037789@direct.unc.nchie.net
Organizations & group practices 1
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.
-
dba UNC Hospitals Specialty Pharmacy
- Community/Retail Pharmacy
- Morrisville, NC
- NPI 1134928542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1477247252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 COLT HWY APT 31",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060323075",
"telephone_number": "970-231-8252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MANNING DR BLDG 2",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275144423",
"telephone_number": "984-974-7835",
"fax_number": "984-974-0290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "DALLIN",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-06",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NC",
"license": "13276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.