Organization Active NPI

Reggie D. Thomas, DMD, Inc.

  • Dental Clinic/Center
  • Broken Arrow, OK
National Provider Identifier
1629242573
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4739 Issued in OK
Legal business name
REGGIE D. THOMAS, DMD, INC.
Practice address
2109 W Washington St
Broken Arrow, OK 74012-6801
Phone
(918) 455-0123
Fax
(918) 455-2311
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Veronica J. Thomas
Title
Office Manager
Phone
(918) 455-0123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 4739 OK Primary

Addresses

Primary practice location

2109 W Washington St
Broken Arrow, OK 74012-6801

Mailing address

2109 W Washington St
Broken Arrow, OK 74012-6801
Phone (918) 455-0123

National Provider Directory

National Provider Directory

Locations

2109 W Washington St
Broken Arrow, OK 74012
Phone (918) 455-0123

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1629242573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 W WASHINGTON ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740126801",
            "telephone_number": "918-455-0123",
            "fax_number": "918-455-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 W WASHINGTON ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740126801",
            "telephone_number": "918-455-0123",
            "fax_number": "918-455-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGGIE D. THOMAS, DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "918-455-0123"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OK",
            "license": "4739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.