Individual provider Active NPI

John H Thee, D.M.D.

  • Dentist
  • South Pasadena, FL
National Provider Identifier
1841317435
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10986 Issued in FL
Practice address
933 Oleander Way S
Suite 1
South Pasadena, FL 33707-2151
Phone
(727) 347-3777
Fax
(727) 343-5023
NPI assigned
Mar 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10986 FL Primary

Addresses

Primary practice location

933 Oleander Way S
Suite 1
South Pasadena, FL 33707-2151

Mailing address

933 Oleander Way S
Suite 1
South Pasadena, FL 33707-2151
Phone (727) 347-3777

Other identifiers 1

IdentifierTypeStateIssuer
67829OtherBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20150929000536 FL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 8820306657

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10986FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841317435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 OLEANDER WAY S",
            "address_2": "SUITE 1",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337072151",
            "telephone_number": "727-347-3777",
            "fax_number": "727-343-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 OLEANDER WAY S",
            "address_2": "SUITE 1",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337072151",
            "telephone_number": "727-347-3777",
            "fax_number": "727-343-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEE",
        "first_name": "JOHN",
        "middle_name": "H",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "10986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "67829",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, FL

Sources for this page

Verify at the official NPI Registry.