Active NPI
Jaime Christian Thony, DDS
- Dentist
- Lakeland, FL
National Provider Identifier
1487206561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 24346
- Practice address
- 1805 Lakeland Hills Blvd
Lakeland, FL 33805-3062 - Phone
- (863) 682-1500
- NPI assigned
- Jul 10, 2019
- Last updated
- Dec 24, 2019
- 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 | 24346 | FL | Primary |
Addresses
Primary practice location
1805 Lakeland Hills Blvd
Lakeland, FL 33805-3062
Mailing address
196 Mason Dr
Titusville, FL 32780-9115
Phone (850) 459-5678
Other practice location 1
7777 N Wickham Rd Ste 4
Melbourne, FL 32940-7978
Phone (321) 255-6303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24346 | FL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jaime Thony PA | Current | Accepting new patients | |
| Coast Florida PA | Dentist | Past | Accepting new patients |
| Coast Florida P.a. | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 3
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 Coast Dental-Melbourne
- General Practice Dentistry
- Melbourne, FL
- NPI 1396312096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577145600000",
"number": "1487206561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "196 MASON DR",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327809115",
"telephone_number": "850-459-5678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 LAKELAND HILLS BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338053062",
"telephone_number": "863-682-1500"
}
],
"practiceLocations": [
{
"address_1": "7777 N Wickham Rd Ste 4",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329407978",
"country_code": "US",
"telephone_number": "321-255-6303",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THONY",
"first_name": "JAIME",
"middle_name": "CHRISTIAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-10",
"last_updated": "2019-12-24",
"certification_date": "2019-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "24346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.