Thomas James Forecki, DDS,SC

Primary specialty

DentistTaxonomy code 122300000X

License

5001915 Issued in WI

Practice address

6203 S Howell Ave
Milwaukee, WI 53207

Phone

(414) 764-5770

NPI assigned

Oct 5, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 21, 2016 through Jun 21, 2028

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

• Justen Toner DDS LLC

  • General Practice Dentistry
  • Milwaukee, WI
  • NPI 1386386829
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437245537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6203 S HOWELL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53207",
            "telephone_number": "414-764-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6203 S HOWELL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53207",
            "telephone_number": "414-764-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORECKI",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS,SC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5001915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith M. Ford, MSW, LCSW, LMFT
• Julie C. Ford, MFT
• Mary E Ford, RN,APNP
• Miah Marie Ford
• Paul Ford
• Forefront Dermatology, S.C.
• Forefront Dermatology, S.C.
• Forefront Dermatology, S.C.
• Forefront Dermatology, S.C.
• Forever Blossom Personal Care LLC

• Dentist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Dentist in Wisconsin

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.