Active NPI
Madison C Thomas, DDS
- Dentist
- Wyandotte, MI
National Provider Identifier
1790477156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901601661
- Practice address
- 1508 Maple St
Wyandotte, MI 48192-5414 - Phone
- (734) 778-1024
- NPI assigned
- May 24, 2023
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2901601661 | MI | Primary |
Addresses
Primary practice location
1508 Maple St
Wyandotte, MI 48192-5414
Mailing address
1508 Maple St
Wyandotte, MI 48192-5414
Phone (734) 778-1024
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 |
|---|---|---|---|
| 2901601661 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1790477156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1508 MAPLE ST",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481925414",
"telephone_number": "734-778-1024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1508 MAPLE ST",
"city": "WYANDOTTE",
"state": "MI",
"postal_code": "481925414",
"telephone_number": "734-778-1024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "MADISON",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-24",
"last_updated": "2023-05-24",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901601661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyandotte, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.