Active NPI
Marvin Thomas
- Oral and Maxillofacial Surgery (Dentist)
- Berwyn Heights, MD
National Provider Identifier
1619530086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 18433
- Practice address
- 6201 Greenbelt Rd Ste M1
Berwyn Heights, MD 20740-2358 - Phone
- (301) 345-7007
- NPI assigned
- Apr 20, 2019
- Last updated
- Sep 18, 2025
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 18433 | MD | Primary |
Addresses
Primary practice location
6201 Greenbelt Rd Ste M1
Berwyn Heights, MD 20740-2358
Mailing address
6201 Greenbelt Rd Ste M1
Berwyn Heights, MD 20740-2358
Phone (301) 345-7007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|---|
| I20190606001482 | NY | Order and Referring Only - Oral Surgery | 4385977305 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18433 | MD | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Oral Surgery Associates, LLC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Oral and Maxillofacial Surgery (Dentist)
- Rockville, MD
- NPI 1326159179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758153600000",
"number": "1619530086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 GREENBELT RD STE M1",
"city": "BERWYN HEIGHTS",
"state": "MD",
"postal_code": "207402358",
"telephone_number": "301-345-7007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6201 GREENBELT RD STE M1",
"city": "BERWYN HEIGHTS",
"state": "MD",
"postal_code": "207402358",
"telephone_number": "301-345-7007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "MARVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-20",
"last_updated": "2025-09-18",
"certification_date": "2025-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MD",
"license": "18433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berwyn Heights, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.