Active NPI
Thomas Richard Gebeck Jr., D.D.S., M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Birmingham, MI
National Provider Identifier
1467669333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 16318
- Practice address
- 35046 Woodward Ave Ste 200
Birmingham, MI 48009-0964 - Phone
- (248) 644-5400
- Fax
- (248) 644-4954
- NPI assigned
- May 17, 2007
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 16318 | MI | Primary |
Addresses
Primary practice location
35046 Woodward Ave Ste 200
Birmingham, MI 48009-0964
Mailing address
35046 Woodward Ave Ste 200
Birmingham, MI 48009-0964
Phone (248) 644-5400
Other practice location 1
114 Kercheval Ave
Grosse Pointe Farms, MI 48236-3619
Phone (313) 771-2655
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16318 | MI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthodontic Associates, P.C. | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Birmingham, MI
- NPI 1841316759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1467669333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35046 WOODWARD AVE STE 200",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480090964",
"telephone_number": "248-644-5400",
"fax_number": "248-644-4954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35046 WOODWARD AVE STE 200",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480090964",
"telephone_number": "248-644-5400",
"fax_number": "248-644-4954"
}
],
"practiceLocations": [
{
"address_1": "114 Kercheval Ave",
"address_purpose": "LOCATION",
"city": "Grosse Pointe Farms",
"state": "MI",
"postal_code": "482363619",
"country_code": "US",
"telephone_number": "313-771-2655",
"fax_number": "248-644-4954",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEBECK",
"first_name": "THOMAS",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MI",
"license": "16318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.