Thomas J Tiberi, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

007853 Issued in CT

Practice address

3015 Main St
Bridgeport, CT 06606-4215

Phone

(203) 365-0015

Fax

(203) 365-0020

NPI assigned

Jan 18, 2007

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174676837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064215",
            "telephone_number": "203-365-0015",
            "fax_number": "203-365-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064215",
            "telephone_number": "203-365-0015",
            "fax_number": "203-365-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBERI",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "007853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jia Yean Thong, M.B.B.S.
• Gianina Thornton, AGNP
• Three 62 Ten Research Group, Inc
• Stephen Francis Thung, MD
• Francis Vincent Tiberi, DMD
• Evan Tilley, MD
• Amond Tillman
• Time for a Change Ministry
• Dorothy A Timmermann, LMFT
• Nicole Marie Timpanelli, APRN, FNP-BC

• General Practice Dentistry in Bridgeport, CT
• Providers in Bridgeport, 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.
• 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.