Organization Active NPI

Nathan B Thomas DPM

  • Foot & Ankle Surgery Podiatrist
  • Missoula, MT
National Provider Identifier
1760665186
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
146 Issued in MT
Legal business name
NATHAN B THOMAS DPM
Practice address
110 South Ave W
Missoula, MT 59801-8116
Phone
(406) 542-2108
Fax
(406) 542-2195
NPI assigned
Dec 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Nathan B Thomas, DPM
Title
Owner
Phone
(406) 542-2108

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 146 MT Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

110 South Ave W
Missoula, MT 59801-8116

Mailing address

110 South Ave W
Missoula, MT 59801-8116
Phone (406) 542-2108

Other identifiers 1

IdentifierTypeStateIssuer
0390320MedicaidMT

National Provider Directory

National Provider Directory

Locations

110 South Ave W
Missoula, MT 59801
Phone (406) 542-2108

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1760665186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SOUTH AVE W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018116",
            "telephone_number": "406-542-2108",
            "fax_number": "406-542-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SOUTH AVE W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018116",
            "telephone_number": "406-542-2108",
            "fax_number": "406-542-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN B THOMAS DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-542-2108",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MT",
            "license": "146",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0390320",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.