Individual provider Active NPI

Ashley Atkins Thomas, DDS

  • Dentist
  • San Antonio, TX
National Provider Identifier
1649886359
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
36659 Issued in TX
Practice address
5215 De Zavala Rd Ste 103
San Antonio, TX 78249-2985
Phone
(210) 740-0645
NPI assigned
Sep 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401417164 VA
Dentist 122300000X 36659 TX Primary

Addresses

Primary practice location

5215 De Zavala Rd Ste 103
San Antonio, TX 78249-2985

Mailing address

3831 Harry Wurzbach Rd BLDG 16
San Antonio, TX 78209-3175
Phone (757) 618-3847

Other practice location 1

20821 US Highway 281 N Ste 310
San Antonio, TX 78258-7597
Phone (210) 494-4488

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

LicenseStateTypeSpecialty
36659TXMDDentist
0401417164VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
De Zavala Modern Dentistry, PC Dentist CurrentSince Sep 20, 2020 Accepting new patients
Stone Oak Modern Dentistry, PC Past Accepting new patients

Locations

5215 De Zavala Rd
Ste 103
San Antonio, TX 78249
Phone (210) 740-0645

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1649886359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 HARRY WURZBACH RD BLDG 16",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782093175",
            "telephone_number": "757-618-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 DE ZAVALA RD STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492985",
            "telephone_number": "210-740-0645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20821 US Highway 281 N Ste 310",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782587597",
            "country_code": "US",
            "telephone_number": "210-494-4488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ASHLEY",
        "middle_name": "ATKINS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401417164",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "36659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.