Individual provider Active NPI

Christian Mathew Thomas, D.M.D.

  • Pediatric Dentistry
  • Miramar, FL
National Provider Identifier
1689862674
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN13411 Issued in FL
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

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
071515800MedicaidFL

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
DN13411FLMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.