Active NPI
Christian Mathew Thomas, D.M.D.
- Pediatric Dentistry
- Miramar, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN13411
- Practice address
- 16223 Miramar Pkwy
Miramar, FL 33027-4572 - Phone
- (954) 433-4544
- NPI assigned
- Oct 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN13411 | FL | Primary |
Addresses
Primary practice location
16223 Miramar Pkwy
Miramar, FL 33027-4572
Mailing address
4602 CR 673 # 10210
Bushnell, FL 33513-8358
Phone (954) 817-0231
Other practice location 1
4919 Sheridan St Ste 50
Hollywood, FL 33021-2823
Phone (954) 510-9898
Other practice location 2
2950 SW 8th St
Miami, FL 33135-2827
Phone (305) 456-9417
Other practice location 3
4410 W 16th Ave Ste 52
Hialeah, FL 33012-7193
Phone (305) 825-9899
Other practice location 4
3401 S Congress Ave Ste 206
Palm Springs, FL 33461-3066
Phone (561) 366-2222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 071515800 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN13411 | FL | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Children's Dentistry, P.a. | Pediatric Dentistry | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Dentistry
- Hialeah, FL
- NPI 1972854149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1689862674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4602 CR 673 # 10210",
"city": "BUSHNELL",
"state": "FL",
"postal_code": "335138358",
"telephone_number": "954-817-0231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16223 MIRAMAR PKWY",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330274572",
"telephone_number": "954-433-4544"
}
],
"practiceLocations": [
{
"address_1": "4919 Sheridan St Ste 50",
"address_purpose": "LOCATION",
"city": "Hollywood",
"state": "FL",
"postal_code": "330212823",
"country_code": "US",
"telephone_number": "954-510-9898",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2950 SW 8th St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331352827",
"country_code": "US",
"telephone_number": "305-456-9417",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4410 W 16th Ave Ste 52",
"address_purpose": "LOCATION",
"city": "Hialeah",
"state": "FL",
"postal_code": "330127193",
"country_code": "US",
"telephone_number": "305-825-9899",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3401 S Congress Ave Ste 206",
"address_purpose": "LOCATION",
"city": "Palm Springs",
"state": "FL",
"postal_code": "334613066",
"country_code": "US",
"telephone_number": "561-366-2222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "CHRISTIAN",
"middle_name": "MATHEW",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-04",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN13411",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "071515800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.