Duane M Thomas, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12111 Issued in MO

Practice address

2727 Saint Marys Ave
Hannibal, MO 63401-3774

Phone

(573) 221-1227

Fax

(573) 221-5564

NPI assigned

Jan 31, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2010 through Jan 1, 2028

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hannibal Dental Group

  • General Practice Dentistry
  • Hannibal, MO
  • NPI 1699745935
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952448623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BRIARWOOD DR",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634012225",
            "telephone_number": "573-221-1227",
            "fax_number": "573-221-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 SAINT MARYS AVE",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634013774",
            "telephone_number": "573-221-1227",
            "fax_number": "573-221-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DUANE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "12111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Marie Taylor, MS, RDN, LD
• Matthew Aaron Tegg, LPC
• Michael B Tentori, D.O.
• The Child Center, Inc
• Anna Laura Thomas, RD
• Richard Shannon Thomas, JD, DO
• Terry Shannon Thomas, APRN-FNP
• Brandi M Thompson, ARNP
• Alisha Thomure, BSN, RN, RNFA
• Clay Owen Thornburg, NP

• General Practice Dentistry in Hannibal, MO
• Providers in Hannibal, MO by specialty
• General Practice Dentistry in Missouri

• 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.