Individual provider Active NPI

Michael Seth Thomas, DDS

  • General Practice Dentistry
  • Monument, CO
National Provider Identifier
1669096194
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
205069 Issued in CO
Practice address
15954 Jackson Creek Pkwy Ste B542
Monument, CO 80132-8532
Phone
(719) 237-6373
NPI assigned
Jun 1, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 00000023 CO
Dentist 122300000X 166927 AK
General Practice Dentistry 1223G0001X 205069 CO Primary

Addresses

Primary practice location

15954 Jackson Creek Pkwy Ste B542
Monument, CO 80132-8532

Mailing address

15954 Jackson Creek Pkwy Ste B542
Monument, CO 80132-8532
Phone (719) 237-6373

Other practice location 1

34300 S Talkeetna Spur Rd
Talkeetna, AK 99676
Phone (907) 733-2273

Other practice location 2

2525 N 8th St Ste 105
Grand Jct, CO 81501-8808
Phone (970) 255-1111

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
166927AKMDDentist
00000023COMDDentist
205069COMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1669096194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15954 JACKSON CREEK PKWY STE B542",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328532",
            "telephone_number": "719-237-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15954 JACKSON CREEK PKWY STE B542",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328532",
            "telephone_number": "719-237-6373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34300 S Talkeetna Spur Rd",
            "address_purpose": "LOCATION",
            "city": "Talkeetna",
            "state": "AK",
            "postal_code": "99676",
            "country_code": "US",
            "telephone_number": "907-733-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 N 8th St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Grand Jct",
            "state": "CO",
            "postal_code": "815018808",
            "country_code": "US",
            "telephone_number": "970-255-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MICHAEL",
        "middle_name": "SETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-01",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00000023",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "166927",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "205069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monument, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.