Clarence L. Thomas III, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19941 Issued in OH

Practice address

442 N Detroit St
Xenia, OH 45385-2234

Phone

(937) 372-4454

Fax

(937) 372-5994

NPI assigned

Jul 26, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Practice roles

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.

• Dr. Clarence L. Thomas III, D.D.S.

  • Dentist
  • Xenia, OH
  • NPI 1528234325
  NPD (past) Authorized official

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1912921982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453850870",
            "telephone_number": "937-372-4454",
            "fax_number": "937-372-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 N DETROIT ST",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453852234",
            "telephone_number": "937-372-4454",
            "fax_number": "937-372-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CLARENCE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "19941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0264351",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Thieme
• Shawn Thigpen
• Tyna Thigpen, RN
• Andrea Thomas-Odeh
• Brenda J Thomas, CDCA
• Amanda Thompson
• Angela Thompson, CDCA
• Brooke Lynn Farol Thompson, CDCA
• Logan Thompson
• Emma Thrasher

• General Practice Dentistry in Xenia, OH
• Providers in Xenia, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.