Individual provider Active NPI

Thomas Henry St Germain, DDS

  • General Practice Dentistry
  • Omaha, NE
National Provider Identifier
1679885982
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6887 Issued in NE
Practice address
12021 Shamrock PLZ
Omaha, NE 68154-3533
Phone
(402) 330-2243
Fax
(402) 330-0408
NPI assigned
Jul 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6887 NE Primary

Addresses

Primary practice location

12021 Shamrock PLZ
Omaha, NE 68154-3533

Mailing address

12021 Shamrock PLZ
Omaha, NE 68154-3533
Phone (402) 330-2243

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
6887NEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas St. Germain, D.D.S., P.C. General Practice CurrentSince Jun 12, 2022 Accepting new patients

Locations

12021 Shamrock Plz
Omaha, NE 68154
Phone (402) 330-2243

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1679885982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12021 SHAMROCK PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543533",
            "telephone_number": "402-330-2243",
            "fax_number": "402-330-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12021 SHAMROCK PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543533",
            "telephone_number": "402-330-2243",
            "fax_number": "402-330-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST GERMAIN",
        "first_name": "THOMAS",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-02",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.