Shawn Thomas, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

021002952 Issued in IL

Practice address

30 N Michigan Ave Ste 1904
Chicago, IL 60602

Phone

(312) 236-8514

Fax

(312) 372-1743

NPI assigned

Jun 9, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Shawn Thomas DDS PLLC

  • Periodontics
  • Homewood, IL
  • NPI 1649927773
  NPD Authorized official
• Gargiulo & Gargiulo LTD

  • Periodontics
  • Chicago, IL
  • NPI 1710233077
  NPD (past)

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1740639772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 1904",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023605",
            "telephone_number": "312-236-8514",
            "fax_number": "312-372-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N MICHIGAN AVE STE 1904",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60602",
            "telephone_number": "312-236-8514",
            "fax_number": "312-372-1743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 Terrace St",
            "address_2": "Salk Hall",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152132523",
            "country_code": "US",
            "telephone_number": "412-648-8616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-09",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "021002952",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040876",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Marie Thomas, DPT
• Selina Varma Thomas, M.D., M.P.H., R.D.
• Serena Spring Thomas, MAED
• Shantay Danielle Thomas, MD
• Sharon Thomas
• Shenel Thomas
• Simi Thomas, PT
• Sonia Senu Thomas, NP
• Sonya L Thomas, MD
• Soumya Ann Thomas, DDS

• Periodontics in Chicago, IL
• Providers in Chicago, IL by specialty
• Periodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.