Individual provider Active NPI

Thomas J Chiambretti, DO

  • Family Medicine Physician
  • Dewitt, MI
National Provider Identifier
1336219997
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
TC008550 Issued in MI
Practice address
12970 S US Highway 27
Dewitt, MI 48820-7956
Phone
(517) 669-8345
Fax
(517) 882-5822
NPI assigned
Nov 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TC008550 MI Primary

Addresses

Primary practice location

12970 S US Highway 27
Dewitt, MI 48820-7956

Mailing address

1107 E Miller Rd
PO Box 27547
Lansing, MI 48911-5312
Phone (517) 882-3318

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 Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TC008550MIMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336219997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 E MILLER RD",
            "address_2": "PO BOX 27547",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489115312",
            "telephone_number": "517-882-3318",
            "fax_number": "517-882-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12970 S US HIGHWAY 27",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488207956",
            "telephone_number": "517-669-8345",
            "fax_number": "517-882-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIAMBRETTI",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "TC008550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dewitt, MI

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.

Verify at the official NPI Registry.