Active NPI
Wesley Delaine Thomas, DMD
- Dentist
- Washington, DC
National Provider Identifier
1548437262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN1000615
- Practice address
- 915 N Street SE
BLDG 175, 2ND Floor
Washington, DC 20374 - Phone
- (202) 433-0828
- NPI assigned
- May 12, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN1000615 | DC | Primary |
Addresses
Primary practice location
915 N Street SE
BLDG 175, 2ND Floor
Washington, DC 20374
Mailing address
3220 15TH St NE
Washington, DC 20017-2936
Phone (202) 506-7916
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
| License | State | Type | Specialty |
|---|---|---|---|
| DEN1000615 | DC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449705600000",
"number": "1548437262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 15TH ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200172936",
"telephone_number": "202-506-7916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 N STREET SE",
"address_2": "BLDG 175, 2ND FLOOR",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20374",
"telephone_number": "202-433-0828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "WESLEY",
"middle_name": "DELAINE",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-12",
"last_updated": "2015-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "DC",
"license": "DEN1000615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.