Organization Active NPI

Shawn Thomas DDS PLLC

  • Periodontics
  • Homewood, IL
National Provider Identifier
1649927773
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
SHAWN THOMAS DDS PLLC
Practice address
1924 Hickory Rd
Homewood, IL 60430-2239
Phone
(708) 798-0444
NPI assigned
Mar 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Authorized official

Name
Dr. Shawn Thomas, DDSNPI 1740639772
Title
Periodontist
Phone
(440) 390-8524

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

1924 Hickory Rd
Homewood, IL 60430-2239

Mailing address

1111 S Wabash Ave Apt 1109
Chicago, IL 60605-2557
Phone (440) 390-8524

Other practice location 1

5780 N Lincoln Ave
Chicago, IL 60659-4721
Phone (773) 769-1754

Other practice location 2

30 N Michigan Ave Ste 1904
Chicago, IL 60602-3605
Phone (312) 236-8514

Other practice location 3

15028 Cicero Ave Ste E
Oak Forest, IL 60452-1466
Phone (708) 535-0050

Other practice location 4

1332 119th St
Whiting, IN 46394-1656
Phone (219) 659-4900

Other practice location 5

10065 W Lincoln Hwy
Frankfort, IL 60423-1272
Phone (815) 469-0707

National Provider Directory

National Provider Directory

Locations

5780 N Lincoln Ave
Chicago, IL 60659
Phone (773) 769-1754

30 N Michigan Ave
Ste 1904
Chicago, IL 60602
Phone (312) 236-8514

15028 Cicero Ave
Ste E
Oak Forest, IL 60452
Phone (708) 535-0050

Practitioners & affiliated clinicians

Practitioners 4

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": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1649927773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 S WABASH AVE APT 1109",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052557",
            "telephone_number": "440-390-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 HICKORY RD",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302239",
            "telephone_number": "708-798-0444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5780 N Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606594721",
            "country_code": "US",
            "telephone_number": "773-769-1754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 N Michigan Ave Ste 1904",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606023605",
            "country_code": "US",
            "telephone_number": "312-236-8514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15028 Cicero Ave Ste E",
            "address_purpose": "LOCATION",
            "city": "Oak Forest",
            "state": "IL",
            "postal_code": "604521466",
            "country_code": "US",
            "telephone_number": "708-535-0050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1332 119th St",
            "address_purpose": "LOCATION",
            "city": "Whiting",
            "state": "IN",
            "postal_code": "463941656",
            "country_code": "US",
            "telephone_number": "219-659-4900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10065 W Lincoln Hwy",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "IL",
            "postal_code": "604231272",
            "country_code": "US",
            "telephone_number": "815-469-0707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHAWN THOMAS DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "440-390-8524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.