Maisie Tolzmann

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1859769 Issued in MA

Practice address

50 West St
Beverly, MA 01915-2228

Phone

(978) 927-3515

NPI assigned

Apr 11, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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.

• Wisconsin Dental Health, LLC

  • Dentist
  • Sun Prairie, WI
  • NPI 1154837433
  NPD (past)

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

{
    "created_epoch": "1618099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690070400000",
    "number": "1346820644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 WEST ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152228",
            "telephone_number": "978-927-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WEST ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152228",
            "telephone_number": "978-927-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLZMANN",
        "first_name": "MAISIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-11",
        "last_updated": "2023-07-23",
        "certification_date": "2023-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1859769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@thousandoaksdentistry.com",
            "affiliation": "N",
            "address_1": "390 S Grand Ave Ste 110",
            "city": "Sun Prairie",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535909294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Timothy James Tobin, D.P.M.
• Nicole Tocci
• Alison Claire Todd, LICSW
• Susan Tognazzi
• Rachel Jane Tolan, LICSW
• Shane M Toman
• Jeanne Tomich, PH.D.
• Karen M Tompkins, LICSW
• Kimberly Darlene Tompkins, LMHC
• Darlene Mary Tonucci

• General Practice Dentistry in Beverly, MA
• Providers in Beverly, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2023; 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.