DR. JOHN WILLAIM THOUSAND IV D.D.S.
NPI 1972990752
Dentist - Periodontics in Palm Coast, FL
About Dr. John Willaim Thousand Iv D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN WILLAIM THOUSAND IV D.D.S. (NPI 1972990752) is an individual periodontics provider in Palm Coast, Florida, licensed in Colorado (00201869) and active in the NPI registry since April 2015. He has opted out of Medicare through April 4, 2028.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. John Willaim Thousand Iv D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 4, 2024 through April 4, 2028.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PALM COAST, FL 32164
PALM COAST, FL 32164
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Thousand's NPI number?
The NPI number for John Thousand is 1972990752. It was assigned to this individual provider in the NPPES registry on April 20, 2015.
Where is John Thousand located?
John Thousand practices at 3 Cypress Branch Way, Palm Coast, FL 32164. The listed phone number is (386) 445-4247.
What is John Thousand's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.
Is John Thousand enrolled in Medicare?
No. John Thousand has opted out of Medicare through April 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does John Thousand accept?
Health plans from Humana and Renaissance Dental list John Thousand as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for John Thousand was last updated on February 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. John Willaim Thousand IV, D.D.S. · NPI 1972990752
Periodontics provider in Palm Coast, Florida. Individual provider, active in the CMS NPPES registry since April 20, 2015.
## Identity
- **NPI:** 1972990752 (Entity type: Individual)
- **Enumerated:** April 20, 2015
- **Primary specialty:** Dentist - Periodontics · taxonomy 1223P0300X
- **State license:** 00201869 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 3 CYPRESS BRANCH WAY, Palm Coast, FL 32164-8409
- **Phone:** (386) 445-4247
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 4, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** February 25, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1972990752) · Data from the CMS NPPES public registry.