Randolph P Thomas, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS003397 Issued in TN

Practice address

108 S Central Ave
Church Hill, TN 37642-3723

Phone

(423) 357-7111

Fax

(423) 357-1991

NPI assigned

Jan 23, 2007

Last updated

Jul 8, 2007By 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

Other identifiers 1

Other names 1

• Randy Thomas Other name

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.

• Randy Thomas, D.M.D., P.C.

  • General Practice Dentistry
  • Church Hill, TN
  • NPI 1831362110
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477607455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 349",
            "city": "CHURCH HILL",
            "state": "TN",
            "postal_code": "376420349",
            "telephone_number": "423-357-7111",
            "fax_number": "423-357-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S CENTRAL AVE",
            "city": "CHURCH HILL",
            "state": "TN",
            "postal_code": "376423723",
            "telephone_number": "423-357-7111",
            "fax_number": "423-357-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "RANDOLPH",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS003397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD TN",
            "identifier": "2007056",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDY",
            "last_name": "THOMAS",
            "credential": "D.M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Audrey C Stanley, MS, LAT, ATC
• State of Tennessee (Hawkins County Health Dept)
• Barbara Sword
• Mansoor Tanwir, MD
• Melissa M Taylor, LPC/MHSP
• Jackie Christine Thompson
• Tricities Healthcare Solutions (Church Hill Primary Care)
• Tumlin RX, LLC (Church Hill Drug Store)
• Vanguard of Church Hill, LLC (Church Hill Health Care & Rehab Center)
• Heather Varney, NP

• General Practice Dentistry in Church Hill, TN
• Providers in Church Hill, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.