Thomas Ryan McPherson, D.M.D

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN20589 Issued in FL

Practice address

41 Fairpoint Dr Ste a
Gulf Breeze, FL 32561

Phone

(850) 934-2820

NPI assigned

Jun 9, 2014

Last updated

Jul 27, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• University of Frida

  • Dentist
  • Gainesville, FL
  • NPI 1629429204
  NPD (past)

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1063825990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 FAIRPOINT DR STE A",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614380",
            "telephone_number": "850-934-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 FAIRPOINT DR STE A",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "32561",
            "telephone_number": "850-934-2820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 SW Archer Rd # D7-6",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326100416",
            "country_code": "US",
            "telephone_number": "352-273-6750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCPHERSON",
        "first_name": "THOMAS",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN20589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter K McIver, MD
• Katherine McKenzie, ATC
• Lacy McKinley, ARNP
• Dana Guillory McMahon I
• Judith McMann, RN, CCM
• Mary Alison McRae
• Brooke McSheehy, RBT
• Julie Marie Meads
• Medical Wellness Institute of America Inc
• Rita Ann Meeks, MD

• Oral and Maxillofacial Surgery (Dentist) in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.