Broch Thomas, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

22159 Issued in FL

Practice address

1920 S Stapley Dr Ste 105
Mesa, AZ 85204-6678

Phone

(480) 545-5300

Fax

(480) 545-5303

NPI assigned

Mar 22, 2016

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stapley Dental Group, Professional Corporation

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1972692721

  General Practice

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 3, 2019.

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1558723213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 N 39TH ST APT 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187123",
            "telephone_number": "618-339-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 S STAPLEY DR STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046678",
            "telephone_number": "480-545-5300",
            "fax_number": "480-545-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BROCH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "22159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Third Street Home
• Stephanie Marie Thirjung
• Elaine Thobe
• Thomas E Sutton MD PC
• Ashley Kay Thomas, CF-SLP
• Carly Thomas, MPAS, PA-C
• Dylan Thomas, DMD
• Felicia D Thomas, LPC-22408
• Gary Thomas, PH.D.
• Jennifer L Thomas, RN

• All providers in Mesa, AZ
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.