NPIMap

Organization Active NPI

Thomas Berard, D.D.S. P.C.

Doing business as High-tech Dental

  • Dental Clinic/Center
  • Manistee, MI
National Provider Identifier
1457597049
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
11462 Issued in MI
Legal business name
THOMAS BERARD, D.D.S. P.C.
Doing business as
High-tech Dental
Practice address
812 Cypress St
Manistee, MI 49660-2110
Phone
(231) 723-6512
Fax
(231) 723-0000
NPI assigned
Jan 2, 2009
Last updated
Dec 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Authorized official

Name
Dr. Thomas Allen Berard, D.D.S.NPI 1336206812
Title
President
Phone
(231) 723-6512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 11462 MI Primary

Addresses

Primary practice location

812 Cypress St
Manistee, MI 49660-2110

Mailing address

812 Cypress St
Manistee, MI 49660-2110
Phone (231) 723-6512

Other names 1

  • High-tech Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1457597049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 CYPRESS ST",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496602110",
            "telephone_number": "231-723-6512",
            "fax_number": "231-723-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 CYPRESS ST",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496602110",
            "telephone_number": "231-723-6512",
            "fax_number": "231-723-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS BERARD, D.D.S. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-02",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "BERARD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-723-6512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "11462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High-tech Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manistee, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.