Individual provider Active NPI

Jeffrey E. Thomsen, D.M.D.

  • General Practice Dentistry
  • Wethersfield, CT
National Provider Identifier
1043233240
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
006140 Issued in CT
Practice address
55 Town Line Rd
Suite 202
Wethersfield, CT 06109-4352
Phone
(860) 529-5280
Fax
(860) 529-1334
NPI assigned
Jul 26, 2006
Last updated
Feb 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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 006140 CT Primary

Addresses

Primary practice location

55 Town Line Rd
Suite 202
Wethersfield, CT 06109-4352

Mailing address

55 Town Line Rd
Suite 202
Wethersfield, CT 06109-4352
Phone (860) 529-5280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20160422001823 CT Order and Referring Only - DentistPractitioner - Dentist 2163721242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006140CTMDGeneral Practice Dentistry
6140CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thomsen, Macarthur & Sehl, D.M.D.,PC General Practice Past Accepting new patients

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1043233240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 TOWN LINE RD",
            "address_2": "SUITE 202",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094352",
            "telephone_number": "860-529-5280",
            "fax_number": "860-529-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 TOWN LINE RD",
            "address_2": "SUITE 202",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094352",
            "telephone_number": "860-529-5280",
            "fax_number": "860-529-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMSEN",
        "first_name": "JEFFREY",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "006140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wethersfield, CT

Sources for this page

Verify at the official NPI Registry.