Karriem R Thurman, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

25989 Issued in TX

Practice address

2101 Pat Booker Road
Ste 120
Universal City, TX 78148-1101

Phone

(210) 599-9900

Fax

(210) 599-9504

NPI assigned

May 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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

Locations

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.

• Careview Hospice Inc

  • Community Based Hospice Care Agency
  • San Antonio, TX
  • NPI 1780305672
  NPD

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1952513616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 PAT BOOKER ROAD",
            "address_2": "STE 120",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781481101",
            "telephone_number": "210-599-9900",
            "fax_number": "210-599-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 PAT BOOKER ROAD",
            "address_2": "STE 120",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781481101",
            "telephone_number": "210-599-9900",
            "fax_number": "210-599-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURMAN",
        "first_name": "KARRIEM",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS038491",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "051276-1",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "25989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218232102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Texas Dental Specialist Practice, PLLC
• Michelle Layne Theisen
• Cassandra E Thelen
• Julia Annette Thola
• Faith Thompson
• Jacqueline Annette Tobar-Lax, LPC
• Vera Toni
• Tiffany Townsend
• Sabrina Trevino
• Steven Chavez Trevino, FNP-C

• Endodontics in Universal City, TX
• Providers in Universal City, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.