Lesly G Thomas, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42010 Issued in CA

Practice address

4434 University Pkwy
Suite G
San Bernadino, CA 92407

Phone

(909) 887-1533

Fax

(909) 887-6220

NPI assigned

Nov 17, 2006

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

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Godoy DDS Inc

  dba Town Center Dental Office

  • General Practice Dentistry
  • San Bernardino, CA
  • NPI 1770470379
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497829816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4434 UNIVERSITY PKWY",
            "address_2": "SUITE G",
            "city": "SAN BERNADINO",
            "state": "CA",
            "postal_code": "92407",
            "telephone_number": "909-887-1533",
            "fax_number": "909-887-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4434 UNIVERSITY PKWY",
            "address_2": "SUITE G",
            "city": "SAN BERNADINO",
            "state": "CA",
            "postal_code": "92407",
            "telephone_number": "909-887-1533",
            "fax_number": "909-887-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LESLY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "42010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deirdre Parkinson
• Dajuan Purcell
• Fnu Rashmi
• Eugene Phillip Stecz, MD
• Paul Anthony Tenette, RPN
• Richard Steven Tindall, MD
• Veterans Alcohol Rehabilitation Program, Inc.- Varp, Inc.
• Tracy Laveria Wilborn, CERTIFICATE
• Soon Jo Yoon

• General Practice Dentistry in San Bernadino, CA
• Providers in San Bernadino, CA by specialty
• General Practice Dentistry in California

• 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.

Verify at the official NPI Registry.