Individual provider Active NPI

Thomas E Bramanti Sr., DDS, PHD

  • Periodontics
  • Fresno, CA
National Provider Identifier
1407163801
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
40339 Issued in CA
Practice address
5660 N Fresno St
Suite #110
Fresno, CA 93710-8343
Phone
(559) 438-7800
Fax
(559) 490-6488
NPI assigned
Sep 7, 2010
Last updated
Sep 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 40339 CA Primary

Addresses

Primary practice location

5660 N Fresno St
Suite #110
Fresno, CA 93710-8343

Mailing address

5660 N Fresno St
Suite #110
Fresno, CA 93710-8343
Phone (559) 438-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211222001937 CA Practitioner - Plastic and Reconstructive Surgery 4880085059 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
40339CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Head and Neck Associates of Central California CurrentSince Sep 18, 2021 Accepting new patients

Locations

215 N Fresno St
Ste 490
Fresno, CA 93701
Phone (559) 459-4101

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1407163801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5660 N FRESNO ST",
            "address_2": "SUITE #110",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108343",
            "telephone_number": "559-438-7800",
            "fax_number": "559-490-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5660 N FRESNO ST",
            "address_2": "SUITE #110",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937108343",
            "telephone_number": "559-438-7800",
            "fax_number": "559-490-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAMANTI",
        "first_name": "THOMAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DDS, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "40339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.