Active NPI
Ely @ Thomson PA
- General Practice Dentistry
- Gainesville, FL
National Provider Identifier
1528053923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7024
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Gainesville, FL
- NPI 1275789083
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.