Individual provider Active NPI

Thomas John Gilbert, DDS

  • General Practice Dentistry
  • Royal Oak, MI
National Provider Identifier
1033231824
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
014254 Issued in MI
Practice address
715 N Main St
Royal Oak, MI 48067-1822
Phone
(248) 398-1818
Fax
(248) 398-2031
NPI assigned
Apr 4, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 014254 MI Primary

Addresses

Primary practice location

715 N Main St
Royal Oak, MI 48067-1822

Mailing address

715 N Main St
Royal Oak, MI 48067-1822
Phone (248) 398-1818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150526002206 MI Order and Referring Only - DentistPractitioner - Dentist 0446239776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
014254MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas J Gilbert DDS PC General Practice CurrentSince Oct 2, 2022 Accepting new patients

Locations

715 N Main St
Royal Oak, MI 48067
Phone (248) 398-1818

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033231824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N MAIN ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671822",
            "telephone_number": "248-398-1818",
            "fax_number": "248-398-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N MAIN ST",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671822",
            "telephone_number": "248-398-1818",
            "fax_number": "248-398-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "014254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.