Thomas-Eden Carr Pike, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

23672 Issued in FL

Practice address

2470 Sampson Street
Great Lakes, IL 60088

Phone

(847) 688-3331

NPI assigned

Oct 2, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1457992240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9525 ADELAIDE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322447904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 SAMPSON STREET",
            "city": "GREAT LAKES",
            "state": "IL",
            "postal_code": "60088",
            "telephone_number": "847-688-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIKE",
        "first_name": "THOMAS-EDEN",
        "middle_name": "CARR",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "23672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thomas.e.pike7.mil@mail.mil",
            "affiliation": "N",
            "endpointDescription": "Work e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2470 Sampson Street",
            "city": "Great Lakes",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Corrie Anne Pearson, RN
• Debra Pennington, CRNP
• Rebecca Perez
• William Harreld Peterson, PA-C
• James G Pierson, DDS
• Tracy Lynn Benford Price, M.D.
• Jazmin Quintanilla-Rendon
• Ritesh Dhiru Radadia, D.M.D.
• Andrew I Radovan, DDS
• Jonathan Ramonbeebe

• Dentist in Great Lakes, IL
• Providers in Great Lakes, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.