Individual provider Active NPI

Arnold William Thomas, D.M.D.,P.C.

  • General Practice Dentistry
  • Moon Township, PA
National Provider Identifier
1578671590
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS028107-L Issued in PA
Practice address
1000 Commerce Dr
Third Floor
Moon Township, PA 15108-4739
Phone
(412) 262-3530
Fax
(412) 262-1558
NPI assigned
Aug 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 DS028107-L PA Primary

Addresses

Primary practice location

1000 Commerce Dr
Third Floor
Moon Township, PA 15108-4739

Mailing address

1000 Commerce Dr
Third Floor
Moon Township, PA 15108-4739
Phone (412) 262-3530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160315000747 PA Order and Referring Only - DentistPractitioner - Dentist 5991001174

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS028107-LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578671590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 COMMERCE DR",
            "address_2": "THIRD FLOOR",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151084739",
            "telephone_number": "412-262-3530",
            "fax_number": "412-262-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 COMMERCE DR",
            "address_2": "THIRD FLOOR",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151084739",
            "telephone_number": "412-262-3530",
            "fax_number": "412-262-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ARNOLD",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.M.D.,P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS028107-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moon Township, PA

Sources for this page

Verify at the official NPI Registry.