Individual provider Active NPI

Shara Monique Thomas, DDS

  • General Practice Dentistry
  • Hyattsville, MD
National Provider Identifier
1710247424
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN1001263 Issued in DC
Practice address
6495 New Hampshire Ave Ste 108
Hyattsville, MD 20783-3288
Phone
(301) 270-5100
Fax
(301) 270-5524
NPI assigned
May 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16269 MD
General Practice Dentistry 1223G0001X DEN1001263 DC Primary

Addresses

Primary practice location

6495 New Hampshire Ave Ste 108
Hyattsville, MD 20783-3288

Mailing address

6495 New Hampshire Ave Ste 108
Hyattsville, MD 20783-3288
Phone (301) 270-5100

Other identifiers 2

IdentifierTypeStateIssuer
06705000MedicaidMD
078727500MedicaidDC

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
16269MDMDClinical Social Worker
DEN1001263DCMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1710247424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6495 NEW HAMPSHIRE AVE STE 108",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207833288",
            "telephone_number": "301-270-5100",
            "fax_number": "301-270-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6495 NEW HAMPSHIRE AVE STE 108",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207833288",
            "telephone_number": "301-270-5100",
            "fax_number": "301-270-5524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SHARA",
        "middle_name": "MONIQUE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "16269",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN1001263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06705000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078727500",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.