Dr Tom Belford Jr P C

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11008 Issued in MI

Legal business name

DR TOM BELFORD JR P C

Practice address

G2432 W Carpenter Rd
Flint, MI 48505-1983

Phone

(810) 785-7500

NPI assigned

Apr 18, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Bethany R Thierbach

Title

Office Manager

Phone

(810) 785-7500

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Tom D Belford JR DDS PC Other name

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1255505319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G2432 W CARPENTER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485051983",
            "telephone_number": "810-785-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G2432 W CARPENTER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485051983",
            "telephone_number": "810-785-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR TOM BELFORD JR P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "THIERBACH",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "810-785-7500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "11008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4043454",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4864411",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tom D Belford JR DDS PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.