Active NPI
Thomas Henry Reilly Jr., DDS
- Dentist
- East Sandwich, MA
National Provider Identifier
1457522898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- MA15261
- Practice address
- 420 Route 6a
East Sandwich, MA 02537 - Phone
- (508) 888-1990
- NPI assigned
- Mar 13, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | MA15261 | MA | Primary |
Addresses
Primary practice location
420 Route 6a
East Sandwich, MA 02537
Mailing address
PO Box 530
420 Route 6a
East Sandwich, MA 02537
Phone (508) 888-1990
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA15261 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205366400000",
"number": "1457522898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 530",
"address_2": "420 ROUTE 6A",
"city": "EAST SANDWICH",
"state": "MA",
"postal_code": "02537",
"telephone_number": "508-888-1990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 ROUTE 6A",
"city": "EAST SANDWICH",
"state": "MA",
"postal_code": "02537",
"telephone_number": "508-888-1990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILLY",
"first_name": "THOMAS",
"middle_name": "HENRY",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-13",
"last_updated": "2008-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "MA15261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Sandwich, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.