Walter Clark Thomas, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4264 Issued in AL

Practice address

1516 Center Point Pkwy
Ste 101
Birmingham, AL 35215-5692

Phone

(205) 853-0650

Fax

(205) 853-0669

NPI assigned

Feb 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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 AL

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

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750429452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 CENTER POINT PKWY",
            "address_2": "STE 101",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352155692",
            "telephone_number": "205-853-0650",
            "fax_number": "205-853-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 CENTER POINT PKWY",
            "address_2": "STE 101",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352155692",
            "telephone_number": "205-853-0650",
            "fax_number": "205-853-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "WALTER",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Justin Thomas, PH.D.
• Steven John Thomas, MD
• Tiffany Monique Thomas, NP
• Tyra Thomas, OTD,OTR/L
• Virginia Thomas, CRNP
• Wendy Lynn Thomas, RN
• Zachary C Thomas
• Ziaha Thomas
• Brandy Thomason Tanner, CRNP
• Angela Roberts Thomason, PHARMD.

• General Practice Dentistry in Birmingham, AL
• Providers in Birmingham, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.