Active NPI
Antony P Thomas, BDS
- Dentist
- Gainesville, FL
National Provider Identifier
1477808186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1109
- Practice address
- 1395 Center Drive
Gainesville, FL 32608 - Phone
- (352) 273-5436
- NPI assigned
- Jul 18, 2012
- 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 | 1109 | FL | Primary |
Addresses
Primary practice location
1395 Center Drive
Gainesville, FL 32608
Mailing address
PO Box 100436
Gainesville, FL 32610-0436
Phone (352) 273-5436
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20190312002160 | FL | Order and Referring Only - Dentist | 5092055988 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1109 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375142400000",
"number": "1477808186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100436",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100436",
"telephone_number": "352-273-5436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1395 CENTER DRIVE",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32608",
"telephone_number": "352-273-5436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "ANTONY",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "BDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-18",
"last_updated": "2013-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "1109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.