Vartan L Thomas, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40992 Issued in CA

Practice address

7100 Santa Fe Ave
Huntington Park, CA 90255-3912

Phone

(323) 587-8444

NPI assigned

Jul 18, 2007

Last updated

May 9, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Vartan L Thomas Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Vartan L. Thomas DDS Inc

  • General Practice Dentistry
  • Huntington Park, CA
  • NPI 1255480620
  NPD (past) Authorized official

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1881894855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 SANTA FE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902553912",
            "telephone_number": "323-587-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 SANTA FE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902553912",
            "telephone_number": "323-587-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "VARTAN",
        "middle_name": "L",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VARTAN",
            "last_name": "THOMAS",
            "middle_name": "L",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Timothy Collister PHD & Associates, Inc

• General Practice Dentistry in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.

Verify at the official NPI Registry.