Active NPI
Patrick Charles Thomas, D.D.S.
- General Practice Dentistry
- Youngstown, OH
National Provider Identifier
1811959240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30015221
- Practice address
- 510 Gypsy LN
Suite 104
Youngstown, OH 44504-1349 - Phone
- (330) 884-3058
- Fax
- (330) 884-5788
- NPI assigned
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 30015221 | OH | Primary |
Addresses
Primary practice location
510 Gypsy LN
Suite 104
Youngstown, OH 44504-1349
Mailing address
20 Mock St
Hubbard, OH 44425-1429
Phone (330) 534-1155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0307644 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160224002539 | OH | Order and Referring Only - Other (Non-Physician) | 9931404241 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30015221 | OH | MD | General Practice Dentistry |
| 15221 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1811959240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 MOCK ST",
"city": "HUBBARD",
"state": "OH",
"postal_code": "444251429",
"telephone_number": "330-534-1155",
"fax_number": "330-534-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 GYPSY LN",
"address_2": "SUITE 104",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445041349",
"telephone_number": "330-884-3058",
"fax_number": "330-884-5788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "PATRICK",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30015221",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0307644",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.