Active NPI
Percy Thomas, DDS
- Dentist
- Brooklyn, NY
National Provider Identifier
1598945982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 041573
- Practice address
- 5520 Glenwood Road
Suite B-1
Brooklyn, NY 11234 - Phone
- (718) 209-9338
- NPI assigned
- Nov 14, 2007
- Last updated
- Nov 14, 2007
- 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 | 041573 | NY | Primary |
Addresses
Primary practice location
5520 Glenwood Road
Suite B-1
Brooklyn, NY 11234
Mailing address
5520 Glenwood Road
Suite B-1
Brooklyn, NY 11234
Phone (718) 209-9338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01365099 | Medicaid | NY |
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 |
|---|---|---|---|
| 041573 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194998400000",
"number": "1598945982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5520 GLENWOOD ROAD",
"address_2": "SUITE B-1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11234",
"telephone_number": "718-209-9338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5520 GLENWOOD ROAD",
"address_2": "SUITE B-1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11234",
"telephone_number": "718-209-9338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "PERCY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-14",
"last_updated": "2007-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "041573",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01365099",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.