Active NPI
Thomas E Deem, DMD
- General Practice Dentistry
- Blue Bell, PA
National Provider Identifier
1295857324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- PA-024620-L
- Practice address
- 6198 Butler Pike
#140
Blue Bell, PA 19422-2600 - Phone
- (215) 643-9858
- Fax
- (215) 643-9882
- NPI assigned
- Apr 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | PA-024620-L | PA | Primary |
Addresses
Primary practice location
6198 Butler Pike
#140
Blue Bell, PA 19422-2600
Mailing address
161 Splitrail Lane
Blue Bell, PA 19422
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-024620-L | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broad Axe Family Dentistry | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295857324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 SPLITRAIL LANE",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "19422",
"fax_number": "215-643-9882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6198 BUTLER PIKE",
"address_2": "#140",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "194222600",
"telephone_number": "215-643-9858",
"fax_number": "215-643-9882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEEM",
"first_name": "THOMAS",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "PA-024620-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Bell, PA
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.