Kandy Thomas, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

09083 Issued in IA

Practice address

1920 Court Ave
Suite 2
Chariton, IA 50049-1906

Phone

(641) 217-8046

Fax

(641) 217-8046

NPI assigned

Jun 13, 2014

Last updated

Jan 7, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

State licenses

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1902210305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 COURT AVE",
            "address_2": "SUITE 2",
            "city": "CHARITON",
            "state": "IA",
            "postal_code": "500491906",
            "telephone_number": "641-217-8046",
            "fax_number": "641-217-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 COURT AVE",
            "address_2": "SUITE 2",
            "city": "CHARITON",
            "state": "IA",
            "postal_code": "500491906",
            "telephone_number": "641-217-8046",
            "fax_number": "641-217-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KANDY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-13",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "09083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Ryan Storm, FNP-C
• Rodney R Stream, DDS
• Philip Dewain Sundquist, M.D.
• Surgical Clinic of Southern Iowa, PC
• Tyson Tanner, DMD
• Kayla June Wallace, NP-C, ARNP
• Audrey Marie Wheeler, M.S.

• General Practice Dentistry in Chariton, IA
• Providers in Chariton, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.