Active NPI
Thomas Word Bennett, MD
- Ophthalmology Physician
- Dover, NH
National Provider Identifier
1245335249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 8272
- Practice address
- 749 Central Ave
Dover, NH 03820 - Phone
- (603) 742-8888
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8272 | NH | MD | Ophthalmology Physician |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 8272 | NH | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
749 Central Ave
Dover, NH 03820
Mailing address
749 Central Ave
Dover, NH 03820
Phone (603) 742-8888
Other identifiers 8
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| C01973 | Other | NH | CIGNA |
| C01973 | Other | NH | HARVARD PILGRIM |
| H003311 | Other | NH | TRICARE |
| 0103389Y0NH01 | Other | NH | ANTHEM |
| 80000954 | Medicaid | NH | |
| C01973 | Other | NH | HCVM PLANS |
| C01973 | Other | NH | EBPA |
| P394952 | Other | NH | OXFORD HEALTH |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245335249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "749 CENTRAL AVE",
"city": "DOVER",
"state": "NH",
"postal_code": "03820",
"telephone_number": "603-742-8888",
"fax_number": "603-742-7910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "749 CENTRAL AVE",
"city": "DOVER",
"state": "NH",
"postal_code": "03820",
"telephone_number": "603-742-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "THOMAS",
"middle_name": "WORD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NH",
"license": "8272",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "C01973",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "C01973",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "H003311",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "0103389Y0NH01",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80000954",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HCVM PLANS",
"identifier": "C01973",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EBPA",
"identifier": "C01973",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH",
"identifier": "P394952",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dover, NH
Sources for this page
- 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.