Active NPI
Thomas F Pratt, D.D.S.
- Dentist
- North Platte, NE
National Provider Identifier
1487813093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6765
- Practice address
- 1301 S Willow St
North Platte, NE 69101-6011 - Phone
- (308) 221-2800
- Fax
- (308) 221-2820
- NPI assigned
- Jun 9, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 6765 | NE | Primary |
Addresses
Primary practice location
1301 S Willow St
North Platte, NE 69101-6011
Mailing address
1301 S Willow St
North Platte, NE 69101-6011
Phone (308) 221-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025910200 | Medicaid | NE |
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 |
|---|---|---|---|
| 6765 | NE | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360886400000",
"number": "1487813093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 S WILLOW ST",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691016011",
"telephone_number": "308-221-2800",
"fax_number": "308-221-2820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 S WILLOW ST",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691016011",
"telephone_number": "308-221-2800",
"fax_number": "308-221-2820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATT",
"first_name": "THOMAS",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-09",
"last_updated": "2013-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "6765",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025910200",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Platte, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.