DR. CORNELL C THOMAS (NPI# 1033376884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033376884 |
| Entity Type | Individual |
| Full Name | DR. CORNELL C THOMAS |
| Credential | DDS |
| Practice Address |
3737 N Kings Highway Suite 108 St Louis MO 63115 |
| Practice Telephone | 3143899990 |
| Practice Fax Number | 3143897722 |
| Mailing Telephone | 3143899990 |
| Mailing Fax Number | 3143897722 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12970 | MO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 400519328 | 05 |
| Street Address |
3737 N KINGS HIGHWAY SUITE 108 |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871023002 | Joshua Kamau Njenga | Nurse Practitioner | 4412 Clarence Avenue, Saint Louis, MO 63115 | 2017-06-20 |
| 1417409178 | Carestl Health | Clinic/Center | 4265 Athlone Ave, Saint Louis, MO 63115 | 2016-10-28 |
| 1366806051 | Samar Roberson | Home Health | 4307 Steinlage Dr, Saint Louis, MO 63115 | 2016-04-08 |
| 1033617386 | Carestl Health | Clinic/Center | 4500 Pope Ave, Saint Louis, MO 63115 | 2018-01-31 |
| 1023466984 | Carestl Health #4 | Durable Medical Equipment & Medical Supplies | 4500 Pope Ave, Saint Louis, MO 63115 | 2016-06-01 |
| 1164621538 | The Learning Tree Intergenerational Center Inc | Clinic/Center | 4430 Labadie Ave, St Louis, MO 63115 | 2007-07-16 |
| 1790845196 | Saint Louis Renal Care, LLC | Clinic/Center | 4411 N Newstead Ave, 2nd Floor, Saint Louis, MO 63115 | 2006-12-08 |
| 1245721331 | Paul Anthony Matthews Sr. | Home Health Aide | 5165 Ashland Ave, Saint Louis, MO 63115-1014 | 2018-05-23 |
| 1952946857 | Tiffany Nicole Stewart | Home Health | 5116 Greer Ave, Saint Louis, MO 63115-1017 | 2019-11-14 |
| 1548764269 | Angels By The Wings LLC | Home Health | 5142 S Norwood Dr, Saint Louis, MO 63115-1044 | 2018-03-19 |
| Find all providers in zip 63115 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306150958 | Lisa J. Mcdonald, Dmd, Inc. | Dentist | 7247 Delmar Boulevard, St Louis, MO 63130 | 2010-08-05 |
| 1013170711 | John Andrew Schleiffanth | Dentist | 6512 Lansdowne Ave, St Louis, MO 63109-2654 | 2008-07-03 |
| 1255515995 | Timothy A Schaible Dmd PC | Dentist | 1544 Sierra Vista Plaza, St Louis, MO 63138 | 2007-12-18 |
| 1346363116 | William James Hartel | Dentist | 9323 Manchester Rd, St Louis, MO 63119 | 2007-04-09 |
| 1508983040 | Marc Robert Boivin | Dentist | 4181 Loughborough Ave, St Louis, MO 63116 | 2007-03-22 |
| 1467507673 | Mark William Aylward | Dentist | 9216 Clayton Road, Suite 118, St Louis, MO 63124 | 2007-01-25 |
| 1013067164 | Alan Samuel Levi | Dentist | 11709 Old Ballas, Ste 100, St Louis, MO 63141-7029 | 2007-01-11 |
| 1063561397 | Ronald Terry Lang | Dentist | 2254 Union Rd, St Louis, MO 63128 | 2007-01-09 |
| 1912056151 | Kleitz Dmd Richardson Dmd PC | Dentist | 13603 Barrett Office Drive, Ste 104, St Louis, MO 63021-7828 | 2007-01-09 |
| 1447315908 | Sheldon & Sheldon Dmd Pa | Dentist | 809 So Lindbergh, St Louis, MO 63131 | 2006-12-26 |
| Find all providers in ST LOUIS | ||||
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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.