Active NPI
Nathan B Thomas DPM
- Foot & Ankle Surgery Podiatrist
- Missoula, MT
National Provider Identifier
1760665186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 146
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0390320 | Medicaid | MT |
National Provider Directory
National Provider DirectoryLocations
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.