J Michael Tiberii

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4459 Issued in CT

Practice address

643 Route 184
Groton, CT 06340

Phone

(860) 445-8569

NPI assigned

Sep 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• John M Johnson DDS PC

  • Dentist
  • Groton, CT
  • NPI 1235269689
  NPD (past)
• Tercel Dental PLLC

  • General Practice Dentistry
  • Groton, CT
  • NPI 1538674262
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063512853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 WHITEHALL LN",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063551640",
            "telephone_number": "860-245-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 ROUTE 184",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "06340",
            "telephone_number": "860-445-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBERII",
        "first_name": "J",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "4459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Sanford Thompson, PA-C
• Eric Neil Thompson, MD
• Mandissa Sarafina Thompson
• Matthew Thompson
• Thoughtful Therapy Solutions LLC
• Maria Kristine Tompkins, APRN
• Lisa Marie Tonnessen, PHD
• Juan Carlos Torvisco, RN
• Christina E Toufexis, M.D.
• Tranquility Therapy, LLC

• General Practice Dentistry in Groton, CT
• Providers in Groton, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.