Individual provider Active NPI

Dennis Lee Thomas, BC-HIS

  • Specialist
  • Fresno, CA
National Provider Identifier
1811183155
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
HA 2570 Issued in CA
Practice address
4686 N 1St St
Fresno, CA 93726-0903
Phone
(559) 227-9509
Fax
(559) 227-2737
NPI assigned
Sep 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X HA 2570 CA Primary

Addresses

Primary practice location

4686 N 1St St
Fresno, CA 93726-0903

Mailing address

29348 Powder Horn Way
Coarsegold, CA 93614-9682
Phone (559) 227-9509

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

LicenseStateTypeSpecialty
HA 2570CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Beltone Central California Past Accepting new patients
Elliot Beach Corp Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287446400000",
    "number": "1811183155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29348 POWDER HORN WAY",
            "city": "COARSEGOLD",
            "state": "CA",
            "postal_code": "936149682",
            "telephone_number": "559-227-9509",
            "fax_number": "559-227-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4686 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937260903",
            "telephone_number": "559-227-9509",
            "fax_number": "559-227-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DENNIS",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "BC-HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-20",
        "last_updated": "2010-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "HA 2570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.