Active NPI
James Nicholas Thiel, DDS
- Prosthodontics
- Brookline, MA
National Provider Identifier
1619059961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 10405
- Practice address
- One Brookline Place
Suite 506 DRS Thiel Rubin Wang Inc
Brookline, MA 02445 - Phone
- (617) 735-8660
- Fax
- (617) 735-8662
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 10405 | MA | Primary |
Addresses
Primary practice location
One Brookline Place
Suite 506 DRS Thiel Rubin Wang Inc
Brookline, MA 02445
Mailing address
One Brookline Place
Suite 506 DRS Thiel Rubin Wang Inc
Brookline, MA 02445
Phone (617) 735-8660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150615001600 | MA | Order and Referring Only - Dentist | 5294046413 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10405 | MA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619059961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE BROOKLINE PLACE",
"address_2": "SUITE 506 DRS THIEL RUBIN WANG INC",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "02445",
"telephone_number": "617-735-8660",
"fax_number": "617-735-8662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE BROOKLINE PLACE",
"address_2": "SUITE 506 DRS THIEL RUBIN WANG INC",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "02445",
"telephone_number": "617-735-8660",
"fax_number": "617-735-8662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIEL",
"first_name": "JAMES",
"middle_name": "NICHOLAS",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "MA",
"license": "10405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
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- Jennifer Grace Thomas
- Paul Patrick Thomas, M.ED.
- Rebecca Podell Thomas, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.