Active NPI
Jeffrey Thomas, DDS
- Dentist
- Kihei, HI
National Provider Identifier
1477609477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DT-1758
- Practice address
- 1847 S Kihei Rd
Kihei, HI 96753-7931 - Phone
- (808) 874-8401
- Fax
- (808) 874-6921
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DT-1758 | HI | Primary |
Addresses
Primary practice location
1847 S Kihei Rd
Kihei, HI 96753-7931
Mailing address
500 Ala Moana Blvd
Suite 7-220
Honolulu, HI 96813-4920
Phone (808) 523-3103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150602001552 | HI | Order and Referring Only - Other (Non-Physician) | 8527389691 |
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": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477609477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 ALA MOANA BLVD",
"address_2": "SUITE 7-220",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968134920",
"telephone_number": "808-523-3103",
"fax_number": "808-523-3122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1847 S KIHEI RD",
"city": "KIHEI",
"state": "HI",
"postal_code": "967537931",
"telephone_number": "808-874-8401",
"fax_number": "808-874-6921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "HI",
"license": "DT-1758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kihei, HI
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.