Organization Active NPI

Ely @ Thomson PA

  • General Practice Dentistry
  • Gainesville, FL
National Provider Identifier
1528053923
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7024 Issued in FL
Legal business name
ELY @ THOMSON PA
Practice address
4140 NW 27TH LN
Suite H
Gainesville, FL 32606-7473
Phone
(352) 373-7373
Fax
(352) 377-1225
NPI assigned
Sep 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tommy Martin Thomson, D.D.S.
Title
Partner
Phone
(352) 373-7373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7024 FL Primary

Addresses

Primary practice location

4140 NW 27TH LN
Suite H
Gainesville, FL 32606-7473

Mailing address

4140 NW 27TH LN
Suite H
Gainesville, FL 32606-7473
Phone (352) 373-7373

National Provider Directory

National Provider Directory

Locations

4140 NW 27th Ln
Ste H
Gainesville, FL 32606
Phone (352) 262-7058

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1528053923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 NW 27TH LN",
            "address_2": "SUITE H",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067473",
            "telephone_number": "352-373-7373",
            "fax_number": "352-377-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 NW 27TH LN",
            "address_2": "SUITE H",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067473",
            "telephone_number": "352-373-7373",
            "fax_number": "352-377-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELY @ THOMSON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "THOMSON",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "352-373-7373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "7024",
            "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 Jun 17, 2008; 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.