Christopher A Thomason, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D4136 Issued in ID

Practice address

151 Stierman Way
Eagle, ID 83616-5163

Phone

(208) 939-4111

Fax

(208) 939-3701

NPI assigned

Jun 30, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1730341827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 STIERMAN WAY",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165163",
            "telephone_number": "208-939-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 STIERMAN WAY",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165163",
            "telephone_number": "208-939-4111",
            "fax_number": "208-939-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMASON",
        "first_name": "CHRISTOPHER",
        "middle_name": "A",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D4136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Health Clinic at Eagle
• The Lactation Network, LLC
• The Trending Group, LLC
• Therapeutic Associates Inc
• Shawna Thomas
• Kaely Thompson, RN, IBCLC
• Kari Thompson
• Olivia Thompson
• Carol Tidwell, MS. LCPC
• TK Howell Enterprises Inc

• General Practice Dentistry in Eagle, ID
• Providers in Eagle, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.