Jonathon Van Thomas, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5295 Issued in OK

Practice address

322 SE 11TH St
Anadarko, OK 73005-4446

Phone

(405) 247-7676

Fax

(405) 247-1153

NPI assigned

Aug 13, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Cameron J Clifford DDS PLLC

  • General Practice Dentistry
  • Anadarko, OK
  • NPI 1447036504
  NPD (past)
• Jonathon V. Thomas, DDS,PC

  dba Bedlam Smiles

  • General Practice Dentistry
  • Anadarko, OK
  • NPI 1437249737
  NPD (past)

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1922230721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "ANADARKO",
            "state": "OK",
            "postal_code": "730050338",
            "telephone_number": "405-247-7676",
            "fax_number": "405-247-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 SE 11TH ST",
            "city": "ANADARKO",
            "state": "OK",
            "postal_code": "730054446",
            "telephone_number": "405-247-7676",
            "fax_number": "405-247-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JONATHON",
        "middle_name": "VAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-13",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100091680A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelyn Stimpson
• Krisztina Szabo
• Willie-Ed Cody Tapedo I
• Emily Erin Taylor, PHARMD
• The Institute of Plastic, Reconstruction, and General Surgery, PC
• Thomas Mark Thompson, OPTICIAN
• Baolien Nguyen Tu, M.D.
• Variety Care Inc (Variety Care Medical Mobile)
• Variety Care, Inc.
• Variety Care, Inc. (Variety Care Anadarko)

• General Practice Dentistry in Anadarko, OK
• Providers in Anadarko, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.