Active NPI
Dwayne Thomas
- Registered Respiratory Therapist
- Albuquerque, NM
National Provider Identifier
1861891657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- 3089
- Practice address
- 235 Elm St NE
Albuquerque, NM 87102-3672 - Phone
- (505) 842-5550
- NPI assigned
- Aug 18, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Respiratory Therapist | 227900000X | 3089 | NM | Primary |
| Registered Respiratory Therapist | 227900000X | 27045 | CA |
Addresses
Primary practice location
235 Elm St NE
Albuquerque, NM 87102-3672
Mailing address
4604 Sam Bratton Ave NW
Albuquerque, NM 87114-5333
Phone (909) 800-5035
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 |
|---|---|---|---|
| 27045 | CA | MD | Dental Hygienist |
| 3089 | NM | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408320000000",
"number": "1861891657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4604 SAM BRATTON AVE NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871145333",
"telephone_number": "909-800-5035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 ELM ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871023672",
"telephone_number": "505-842-5550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "DWAYNE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-18",
"last_updated": "2014-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "NM",
"license": "3089",
"primary": true
},
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "CA",
"license": "27045",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.