Active NPI
Nikita Thomas
- General Practice Dentistry
- Brooklyn, NY
National Provider Identifier
1770016537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 059976
- Practice address
- 836 Union St
Brooklyn, NY 11215-1424 - Phone
- (801) 674-1133
- NPI assigned
- Apr 9, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 059976 | NY | Primary |
Addresses
Primary practice location
836 Union St
Brooklyn, NY 11215-1424
Mailing address
7825 S Caballero Dr
Sandy, UT 84093-6233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 059976 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597017600000",
"number": "1770016537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7825 S CABALLERO DR",
"city": "SANDY",
"state": "UT",
"postal_code": "840936233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 UNION ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112151424",
"telephone_number": "801-674-1133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "NIKITA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-09",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "059976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.