Individual provider Active NPI

Carla Frances Hugus Thomas, D.D.S.

  • Dentist
  • Lago Vista, TX
National Provider Identifier
1730532094
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
32029 Issued in TX
Practice address
8008 Bronco LN
Lago Vista, TX 78645
Phone
(512) 277-3311
NPI assigned
Jul 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 32029 TX Primary

Addresses

Primary practice location

8008 Bronco LN
Lago Vista, TX 78645

Mailing address

8008 Bronco LN Ste B
Lago Vista, TX 78645-4150
Phone (512) 277-3311

Other practice location 1

610 N 8th St
Suite 7
Gunter, TX 75058-3586
Phone (903) 433-1512

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
32029TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bertram Dental, PLLC PastSince Sep 24, 2023 Accepting new patients
Lago Vista Family Dentistry, PLLC PastSince Feb 16, 2020 Accepting new patients
Lago Vista Family Dentistry, Inc. PastSince May 1, 2022 Accepting new patients

Organizations & group practices 3

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": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1730532094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8008 BRONCO LN STE B",
            "city": "LAGO VISTA",
            "state": "TX",
            "postal_code": "786454150",
            "telephone_number": "512-277-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 BRONCO LN",
            "city": "LAGO VISTA",
            "state": "TX",
            "postal_code": "78645",
            "telephone_number": "512-277-3311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 N 8th St",
            "address_2": "Suite 7",
            "address_purpose": "LOCATION",
            "city": "Gunter",
            "state": "TX",
            "postal_code": "750583586",
            "country_code": "US",
            "telephone_number": "903-433-1512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CARLA",
        "middle_name": "FRANCES HUGUS",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lago Vista, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.