KEVIN GEORGE THOMAS (NPI# 1720500655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720500655 |
| Entity Type | Individual |
| Full Name | KEVIN GEORGE THOMAS |
| Credential | DDS |
| Practice Address |
1101 N Providence Rd Columbia MO 65203-4365 |
| Mailing Address |
1836 Lackland Hill Parkway St. Louis MO 63146 |
| Practice Telephone | 5738866741 |
| Mailing Telephone | 3148721439 |
| Mailing Fax Number | 3148101399 |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2017017287 | MO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MISSOURI DENTAL LICENSE | 2017017287 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730643545 | Kevin Daniel Thomas | Occupational Therapy Assistant | 1779 Glendale Milford Rd., Cincinnati, OH 45213 | 2019-01-25 |
| 1316340615 | Kevin Thomas | Military Health Care Provider | 1126 Furlong Dr, Libertyville, IL 60048-3701 | 2014-09-30 |
| 1740605120 | Kevin Thomas | Contractor | 610 Sw 52nd St, Apt 604, Lawton, OK 73505-6837 | 2014-02-21 |
| 1285846741 | Kevin Scott Thomas | Psychologist | 232 W Main St Ste 101, Tustin, CA 92780-7712 | 2007-05-04 |
| 1033746169 | Kevin Thomas | Student in an Organized Health Care Education/Training Program | 701 W 5th St Ste 1229, Odessa, TX 79763-4206 | 2020-03-26 |
| 1134696784 | Kevin Floyd Thomas | Counselor | 505 5th Ave Ste 600, Des Moines, IA 50309-2319 | 2018-10-31 |
| 1215415245 | Kevin Neal Thomas | Technician | 4326 W. Cheyenne Ave (suite 100), North Las Vegas, NV 89032 | 2018-08-01 |
| 1114429057 | Kevin Thomas | Counselor | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2018-03-07 |
| 1487181368 | Kevin Mathew Thomas | Physical Medicine & Rehabilitation | 1 Hospital Dr # Dc046.00, Columbia, MO 65212 | 2017-05-22 |
| 1982143533 | Kevin Thomas | Marriage & Family Therapist | 2309 Daly St, Los Angeles, CA 90031-2230 | 2017-02-15 |
| Street Address |
1101 N PROVIDENCE RD |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65203-4365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962419010 | Trevor Alan Knowles | Dentist | 1101 N Providence Rd, Columbia, MO 65203-4365 | 2006-08-02 |
| 1326275132 | Tyler K. Nivens | Dentist | 1101 N Providence Rd, Columbia, MO 65203-4365 | 2009-06-18 |
| 1295997229 | Megan L Thomas | Dentist | 1101 N Providence Rd, Columbia, MO 65203-4365 | 2008-07-01 |
| 1275670747 | Compass Health, Inc. | Clinic/Center | 1101 N Providence Rd, Columbia, MO 65203-4365 | 2007-01-31 |
| 1598875957 | Robert Herting | Family Medicine | 1101 N Providence Rd, Columbia, MO 65203-4365 | 2006-08-30 |
| 1083724447 | Jennifer Jiang | Family Medicine | 1101 N Providence Rd, Columbia, MO 65203-4365 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982229498 | Rebecca Wallace Counseling LLC | Clinic/Center | 207 Peach Way, Suite 110, Columbia, MO 65203 | 2020-06-10 |
| 1144797101 | Mary Zhang | Family Medicine | 200 Southampton Drive, Ste 102, Columbia, MO 65203 | 2018-10-29 |
| 1871090258 | Hina Omer Khokhar | Pathology | 4601 Apt F West Millbrook Dr, Columbia, MO 65203 | 2018-04-11 |
| 1154820157 | David Vincent Spencer | Internal Medicine | 201 W Broadway Building, Suite E, Columbia, MO 65203 | 2018-02-05 |
| 1598283103 | Donna Strickland | Counselor | 201 W Broadway Bldg 2, Suite F, Columbia, MO 65203 | 2017-09-03 |
| 1134643182 | Anna Kathryn Christensen | Physician Assistant | 4107 Baurichter Dr., Columbia, MO 65203 | 2017-08-01 |
| 1558885871 | Juan Camilo Pineda | Internal Medicine | 210 Portland Street Suite 104, Columbia, MO 65203 | 2017-07-28 |
| 1922530096 | The Missing L Inc | Community/Behavioral Health | 3605 S. Providence Rd, Suite 6, Columbia, MO 65203 | 2017-03-29 |
| 1689118010 | Linda Landry | Nurse Practitioner | 1000 W. Nifong, Bldg 2 Suite 150, Columbia, MO 65203 | 2016-12-04 |
| 1417313552 | Brittany Lea Ramirez | Chiropractor | 2001 Corona Rd Ste 205, Columbia, MO 65203 | 2016-01-05 |
| Find all providers in zip 65203 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558057 | Roberto Selonk Buechele | Dentist | 460 Killian Rd Ste 1, Columbia, SC 29203-9742 | 2020-11-02 |
| 1265043756 | Steven Mariani Rodriguez | Dentist | 5330 Moseby Street, Columbia, SC 29207 | 2020-08-10 |
| 1629688338 | Tennessee Valley Dental Partners, P.C. | Dentist | 1501 Nashville Hwy Ste 102, Columbia, TN 38401-2016 | 2020-08-06 |
| 1912516923 | Richard Houston Rash | Dentist | 303 N Keene St Ste 202-210, Columbia, MO 65201-8050 | 2020-07-26 |
| 1568082493 | Nichole Eckrich | Dentist | 5330 Moseby St., Columbia, SC 29207 | 2020-04-21 |
| 1104304393 | Signature Smiles, LLC | Dentist | 1730 Henderson St Ste A, Columbia, SC 29201-2648 | 2018-07-31 |
| 1255837167 | Ivan Liang Zhang | Dentist | 10910 Little Patuxent Pkwy Ste 103r, Columbia, MD 21044-3081 | 2018-04-01 |
| 1831605401 | Bela Family Dentistry of Sandhills | Dentist | 126 Barton Creek Ct, Columbia, SC 29229-8027 | 2017-12-19 |
| 1588175087 | Palmetto Mobile Dental Centers LLC | Dentist | 1703 Laurel St, Columbia, SC 29201-2660 | 2017-10-24 |
| 1619491461 | Jacquelyn L Wiles | Dentist | 5615 Hood St, Columbia, SC 29207-5109 | 2017-08-02 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.