Individual provider Active NPI

Benjamin Hammond Thomas, DMD

  • General Practice Dentistry
  • Baytown, TX
National Provider Identifier
1932724218
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39647 Issued in TX
Practice address
1410 Cedar Bayou Rd
Baytown, TX 77520-2932
Phone
(281) 837-9090
NPI assigned
Jun 11, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6975 AL
General Practice Dentistry 1223G0001X 39647 TX Primary

Addresses

Primary practice location

1410 Cedar Bayou Rd
Baytown, TX 77520-2932

Mailing address

1410 Cedar Bayou Rd
Baytown, TX 77520-2932
Phone (281) 837-9090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20220208000570 AL Order and Referring Only - DentistPractitioner - Dentist 3072906478

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6975ALMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Dental PLLC PastSince Sep 5, 2023 Accepting new patients
The University of Texas Health Science Center at Houston General Practice PastSince Jun 1, 2020 Accepting new patients

Organizations & group practices 2

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": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1932724218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 CEDAR BAYOU RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775202932",
            "telephone_number": "281-837-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 CEDAR BAYOU RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775202932",
            "telephone_number": "281-837-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BENJAMIN",
        "middle_name": "HAMMOND",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-11",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6975",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

Verify at the official NPI Registry.