Individual provider Active NPI

Kim Canion Thomas, DDS

  • General Practice Dentistry
  • Magnolia, TX
National Provider Identifier
1548433204
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19838 Issued in TX
Practice address
610 Honea Egypt Rd
Magnolia, TX 77354-2392
Phone
(936) 321-2580
Fax
(936) 321-2581
NPI assigned
Apr 2, 2008
Last updated
Mar 1, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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 19838 TX Primary

Addresses

Primary practice location

610 Honea Egypt Rd
Magnolia, TX 77354-2392

Mailing address

610 Honea Egypt Rd
Magnolia, TX 77354-2392
Phone (936) 321-2580

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
19838TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
K C Thomas, DDS PLLC General Practice CurrentSince Oct 6, 2019 Accepting new patients
C E Pittman DDS, PC Past Accepting new patients

Locations

610 Honea Egypt Rd
Magnolia, TX 77354
Phone (936) 321-2580

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": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1548433204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 HONEA EGYPT RD",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542392",
            "telephone_number": "936-321-2580",
            "fax_number": "936-321-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 HONEA EGYPT RD",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542392",
            "telephone_number": "936-321-2580",
            "fax_number": "936-321-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KIM",
        "middle_name": "CANION",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.