Individual provider Active NPI

Thomas James Grass, DMD

  • General Practice Dentistry
  • Waco, TX
National Provider Identifier
1912554601
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39268 Issued in TX
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
39268TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas J Grass DMD LLC General Practice Current Accepting new patients
East City Dental CurrentSince Feb 23, 2025 Accepting new patients
Thomas Grass DMD PLLC CurrentSince Mar 19, 2023 Accepting new patients
Thomas Grass, DMD LLC CurrentSince Sep 8, 2019 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.

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.

Verify at the official NPI Registry.