DR. SHAWN THOMAS (NPI# 1740639772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740639772 |
| Entity Type | Individual |
| Full Name | DR. SHAWN THOMAS |
| Credential | DDS |
| Practice Address |
30 N Michigan Ave Ste 1904 Chicago IL 60602 |
| Mailing Address |
30 N Michigan Ave Ste 1904 Chicago IL 60602-3605 |
| Practice Telephone | 3122368514 |
| Practice Fax Number | 3123721743 |
| Mailing Telephone | 3122368514 |
| Mailing Fax Number | 3123721743 |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2019-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DS040876 | PA | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
021002952 | IL | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3501 Terrace St, Salk Hall, Pittsburgh, PA 152132523 | 4126488616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801393491 | Shawn Thomas | Pharmacist | 4615 Nw 58th Ave, Coral Springs, FL 33067-2193 | 2018-04-10 |
| 1508383415 | Shawn Thomas | Physician Assistant | 1055 Dobbs Ferry Rd, White Plains, NY 10607-2212 | 2017-08-23 |
| 1619341062 | Shawn Thomas | Chiropractor | 315 Coveview Court, Salem, SC 29676 | 2015-11-23 |
| 1245676196 | Shawn Eric Thomas | Pharmacist | 1926 Green Tree Rd, Junction City, WI 54443-9742 | 2013-05-20 |
| 1518176718 | Shawn Thomas | Counselor | 1167 Russells Mills Road, North Dartmouth, MA 02747 | 2007-05-22 |
| 1730207754 | Shawn Dale Thomas | Orthotist | 6812 E Highway 67, Alvarado, TX 76009-6857 | 2007-03-27 |
| 1295736445 | Shawn D Thomas | Optometrist | 81 Salt Creek Pl, Pawleys Island, SC 29585-7947 | 2005-08-09 |
| 1275134702 | Shawn Thomas | Pharmacist | 500 Warren County Ctr, Warrenton, MO 63383-3023 | 2020-11-02 |
| 1518593045 | Shawn Thomas | Occupational Therapist | 1532 Calumet Ave, Dyer, IN 46311-1588 | 2020-03-16 |
| 1255965844 | Shawn Thomas | Pharmacist | 1371 Metropolitan Ave, Bronx, NY 10462-7403 | 2020-02-24 |
| Street Address |
30 N MICHIGAN AVE STE 1904 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710539705 | Biyang Wang | Social Worker | 9 W Washington St, Chicago, IL 60602 | 2019-07-10 |
| 1538724349 | Megan Asta Sarasek | Social Worker | 134 N Lasalle Street, Suite 400, Chicago, IL 60602 | 2019-05-07 |
| 1659850691 | Sara Chen | Dentist | 105 West Madison, 3rd Floor, Chicago, IL 60602 | 2018-08-10 |
| 1942795059 | Pratiti Rajeshkumar Gandhi | Dentist | 33 N Dearborn St Ste 2400, Chicago, IL 60602 | 2018-06-30 |
| 1154833994 | Ywca Metropolitan Chicago | Counselor | 1 North Lasalle Street, Suite 1150, Chicago, IL 60602 | 2017-11-02 |
| 1013434620 | Michelle Malters | Counselor | 30 N Michigan Ave Ste 1909, Chicago, IL 60602 | 2017-08-24 |
| 1740729474 | Jd Manikowski, D.d.s., LLC | Health Maintenance Organization | 30 N. Michigan Ave #1520, Chicago, IL 60602 | 2017-02-14 |
| 1568909943 | Pratiksha Agrawal | Dentist | 105 W Madison St Fl 3, Chicago, IL 60602 | 2017-01-24 |
| 1790221521 | Anastasia Scangas | Social Worker | 30 N Michigan Ave Ste 826, Chicago, IL 60602 | 2017-01-18 |
| 1194269837 | Jenna Peterson | Psychologist | 111 N Wabash Ave Ste 822, Chicago, IL 60602 | 2016-12-15 |
| Find all providers in zip 60602 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145183 | Dental Dream Team Associates LLC Yetta Mccullom Sole Mbr | Dentist | 820 E 87th St Ste 201, Chicago, IL 60619-6256 | 2019-10-09 |
| 1508355678 | Periodontal Associates, LLP | Dentist | 845 N Michigan Ave Ste 940w, Chicago, IL 60611-2216 | 2018-05-04 |
| 1013304724 | Elliott T. Deweese | Dentist | 7447 W Talcott Ave., Suite 227, Chicago, IL 60631 | 2015-04-20 |
| 1417377417 | Kate Quinlin | Dentist | 939 W North Ave Ste 700, Chicago, IL 60642-7839 | 2014-04-17 |
| 1437597598 | Carmen Villasante Graves | Dentist | Rm.458 Mc 859, 801 S. Paulina St, Chicago, IL 60612 | 2013-06-11 |
| 1972781961 | Daniel M Weber | Dentist | 25 E Washington, #1125, Chicago, IL 60602 | 2008-02-01 |
| 1699809202 | Stephen P Russo | Dentist | 25 E. Washington St, Suite 1125, Chicago, IL 60602 | 2007-03-15 |
| 1366572802 | Christine M Gadia | Dentist | 223 W. Jackson Blvd, #1275, Chicago, IL 60606-6908 | 2007-03-06 |
| 1700915105 | Loyola M. Gleason | Dentist | 5945 S Pulaski Rd, Chicago, IL 60629-4550 | 2007-03-04 |
| 1790833192 | Thomas F. Schneider Jr. | Dentist | 4949 W Irving Park Rd Ste D, Chicago, IL 60641-2641 | 2007-01-08 |
| Find all providers in CHICAGO | ||||
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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.