Active NPI
Patrick Pendleton Thomas, D.D.S.
- General Practice Dentistry
- Angleton, TX
National Provider Identifier
1972609394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 50098699
- Practice address
- 201 E Henderson Rd
Angleton, TX 77515-2737 - Phone
- (979) 849-2950
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 18310 | TX | |
| General Practice Dentistry | 1223G0001X | 50098699 | TX | Primary |
Addresses
Primary practice location
201 E Henderson Rd
Angleton, TX 77515-2737
Mailing address
201 E Henderson Rd
Angleton, TX 77515-2737
Phone (979) 849-2950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009345201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50098699 | TX | MD | General Practice Dentistry |
| 18310 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1972609394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E HENDERSON RD",
"city": "ANGLETON",
"state": "TX",
"postal_code": "775152737",
"telephone_number": "979-849-2950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E HENDERSON RD",
"city": "ANGLETON",
"state": "TX",
"postal_code": "775152737",
"telephone_number": "979-849-2950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "PATRICK",
"middle_name": "PENDLETON",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "18310",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "50098699",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009345201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Angleton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.