Thomas James Veryser, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901009869 Issued in MI

Practice address

Dental Clinics North
95 Livingston Blvd
Gaylord, MI 49735

Phone

(989) 731-0961

NPI assigned

Nov 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Northwest Michigan Community Health Agency

  • Clinical Medical Laboratory
  • Gaylord, MI
  • NPI 1659983872
  NPD (past)

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1427123330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MISSION DRIVE",
            "city": "BOYNE CITY",
            "state": "MI",
            "postal_code": "497120115",
            "telephone_number": "231-582-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DENTAL CLINICS NORTH",
            "address_2": "95 LIVINGSTON BLVD",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "49735",
            "telephone_number": "989-731-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERYSER",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901009869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4574912",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4753584",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Lynn Vandusen, MA.
• Courtney Vanooyen
• Steffaney Ann Vantil
• Michael J Vanwagner, D.O.
• Rosaria Vasile
• Josephine Anne Vincent, FNP-C
• Visions for Your Community Care HHC
• Visions Home Health Care Agency Northwest, Inc
• Kari Martha Visser-Robel, O.D.
• Vital Care Home Medical Equip Inc

• Dentist in Gaylord, MI
• Providers in Gaylord, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.