Active NPI
Thomas James Grass, DMD
- General Practice Dentistry
- Waco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 39268
- Practice address
- 331 W Hwy 6 Ste D
Waco, TX 76710-5584 - Phone
- (254) 772-0373
- NPI assigned
- Aug 19, 2019
- Last updated
- Mar 16, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 39268 | TX | Primary |
Addresses
Primary practice location
331 W Hwy 6 Ste D
Waco, TX 76710-5584
Mailing address
15925 SE Stark St
Portland, OR 97233-3525
Phone (503) 253-0291
Other practice location 1
1701 Lake Success Dr
Waco, TX 76710-2964
Phone (254) 772-1827
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 |
|---|---|---|---|
| 39268 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas J Grass DMD LLC | General Practice | Current | Accepting new patients |
| East City Dental | Current | Accepting new patients | |
| Thomas Grass DMD PLLC | Current | Accepting new patients | |
| Thomas Grass, DMD LLC | Current | Accepting new patients | |
| Dental Station Family Dentistry, P.a. | General Practice | Past | Accepting new patients |
Locations
15925 SE Stark St
Portland, OR 97233
Phone (503) 253-0291
331 W State Highway 6
Ste D
Waco, TX 76710
Phone (254) 772-0373
Organizations & group practices 5
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.
-
- Dental Clinic/Center
- Waco, TX
- NPI 1770284705
-
dba Dr. Thomas J. Grass, DMD
- General Practice Dentistry
- Ketchikan, AK
- NPI 1184579427
-
- Dentist
- Portland, OR
- NPI 1679388136
-
- General Practice Dentistry
- Waco, TX
- NPI 1942392691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678924800000",
"number": "1912554601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15925 SE STARK ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972333525",
"telephone_number": "503-253-0291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 W HWY 6 STE D",
"city": "WACO",
"state": "TX",
"postal_code": "767105584",
"telephone_number": "254-772-0373"
}
],
"practiceLocations": [
{
"address_1": "1701 Lake Success Dr",
"address_purpose": "LOCATION",
"city": "Waco",
"state": "TX",
"postal_code": "767102964",
"country_code": "US",
"telephone_number": "254-772-1827",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRASS",
"first_name": "THOMAS",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-19",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "39268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.