Individual provider Active NPI

Thomas E Lequia, D.D.S.

  • Dentist
  • Merced, CA
National Provider Identifier
1902958960
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
40263 Issued in CA
Practice address
2800 Park Ave
Suite B
Merced, CA 95348-3375
Phone
(209) 384-1202
Fax
(209) 383-3895
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 40263 CA Primary

Addresses

Primary practice location

2800 Park Ave
Suite B
Merced, CA 95348-3375

Mailing address

2800 Park Ave
Suite B
Merced, CA 95348-3375
Phone (209) 384-1202

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150630000757 CA Order and Referring Only - DentistPractitioner - Dentist 9436461779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40263CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas E. Lequia DDS & Robert L. Hill, D.D.S. PastSince Aug 1, 2020 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1902958960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 PARK AVE",
            "address_2": "SUITE B",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483375",
            "telephone_number": "209-384-1202",
            "fax_number": "209-383-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 PARK AVE",
            "address_2": "SUITE B",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483375",
            "telephone_number": "209-384-1202",
            "fax_number": "209-383-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEQUIA",
        "first_name": "THOMAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "40263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.