Clifford L. Thomas, DDS., MS.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

19720 Issued in OH

Practice address

14601 Detroit Ave
#620
Lakewood, OH 44107-4214

Phone

(216) 221-5595

Fax

(216) 221-7147

NPI assigned

Aug 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952310526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14601 DETROIT AVE",
            "address_2": "#620",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074214",
            "telephone_number": "216-221-5595",
            "fax_number": "216-221-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14601 DETROIT AVE",
            "address_2": "#620",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074214",
            "telephone_number": "216-221-5595",
            "fax_number": "216-221-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CLIFFORD",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DDS., MS.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "19720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Foot and Ankle Clinic LLC
• Maitlinn Theberge
• Amanda Thoburn, PT, DPT, MSPT
• Thomas E Kavanagh DDS Inc
• Thomas P Cliffel, MD, Inc
• James M Thomas, PA-C
• Novali Thomas
• Kimberly Thompson, PT
• Regina Elaine Thompson, PHYSICAL THERAPIST
• Beth Tibbitts, LISW

• Periodontics in Lakewood, OH
• Providers in Lakewood, OH by specialty
• Periodontics in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.