Thomas J. Anderson, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2722 Issued in ME

Practice address

46 High St
Houlton, ME 04730-1912

Phone

(207) 532-3336

Fax

(207) 532-3336

NPI assigned

Jun 20, 2006

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 ME

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thomas J Anderson D.M.D. PA

  • Dentist
  • Houlton, ME
  • NPI 1194920116
  NPD (past) Authorized official

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255377396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 HIGH ST.",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301912",
            "telephone_number": "207-532-3336",
            "fax_number": "207-532-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 HIGH ST",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301912",
            "telephone_number": "207-532-3336",
            "fax_number": "207-532-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "THOMAS",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "2722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hassan E Abouleish, MD
• Acadia Medical Supply Inc
• Jasmine Ali
• Alliance Healthcare Services Inc
• Eliza Anderson
• Shahriar Anoushfar, D.O.
• Aroostook Council to Prevent Child Abuse
• Aroostook County Actio Program
• Aroostook Diagnostic Imaging
• Aspiring Resilience, LLC

• General Practice Dentistry in Houlton, ME
• Providers in Houlton, ME by specialty
• General Practice Dentistry in Maine

• 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.