Individual provider Active NPI

Chad Thomas

  • General Practice Dentistry
  • Swainsboro, GA
National Provider Identifier
1538576285
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN014821 Issued in GA
Practice address
223 N Green St
Swainsboro, GA 30401
Phone
(478) 237-5330
Fax
(478) 237-4308
NPI assigned
Jul 15, 2014
Last updated
Dec 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN014821 GA Primary

Addresses

Primary practice location

223 N Green St
Swainsboro, GA 30401

Mailing address

PO Box 1106
Swainsboro, GA 30401-1106
Phone (478) 237-5330

Other practice location 1

219 Savannah Ave
Statesboro, GA 30458-2001
Phone (912) 764-6149

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN014821GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Swainsboro Dental Center Current Accepting new patients
Thomas Dental Center General Practice Past Accepting new patients

Locations

223 N Green St
Swainsboro, GA 30401
Phone (478) 237-5330

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1538576285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1106",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304011106",
            "telephone_number": "478-237-5330",
            "fax_number": "478-237-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N GREEN ST",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "30401",
            "telephone_number": "478-237-5330",
            "fax_number": "478-237-4308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 Savannah Ave",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304582001",
            "country_code": "US",
            "telephone_number": "912-764-6149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CHAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-15",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swainsboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; 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.