Katrice Lavonne Thomas, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

4964 Issued in AL

Practice address

3845 Interstate CT
Suite 2
Montgomery, AL 36109-5233

Phone

(334) 260-7757

NPI assigned

Sep 8, 2016

Last updated

Sep 8, 2016By the provider in NPPES

Sex

Female

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Katrice L Thomas DMD PC

  • General Practice Dentistry
  • Montgomery, AL
  • NPI 1609930296
  NPD (past) Authorized official
• Katrice L Thomas DMD PC

  • General Practice Dentistry
  • Montgomery, AL
  • NPI 1912035536
  NPD (past) Authorized official
• Health Services Inc

  dba Hayneville Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Hayneville, AL
  • NPI 1598788218
  NPD
• Health Services, Inc.

  dba Living Well Specialty Clinic

  • Federally Qualified Health Center (FQHC)
  • Montgomery, AL
  • NPI 1184284986
  NPD

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1760939524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 INTERSTATE CT",
            "address_2": "SUITE 2",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361095233",
            "telephone_number": "334-260-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 INTERSTATE CT",
            "address_2": "SUITE 2",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361095233",
            "telephone_number": "334-260-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KATRICE",
        "middle_name": "LAVONNE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "4964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Edwin Thomas, M.D.
• Eliza Catherine Thomas
• Grace H. a. Thomas, M.D.
• Jeffrey Alan Thomas Jr.
• Jennifer Thomas
• Keandrea Ladell Thomas
• Meagan Renea Thomas
• Nancy Watson Thomas, LPC
• Rhonda R. Thomas, NP
• Sequana Latris Thomas, ALC

• Dentist in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.