Individual provider Active NPI

John S Tomsik, DDS

  • General Practice Dentistry
  • Ocean Springs, MS
National Provider Identifier
1649342676
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
170275 Issued in MS
Practice address
6650 Rose Farm Rd
Suite a
Ocean Springs, MS 39564-2117
Phone
(228) 875-6628
Fax
(228) 875-8827
NPI assigned
Nov 14, 2006
Last updated
Apr 5, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 170275 MS Primary

Addresses

Primary practice location

6650 Rose Farm Rd
Suite a
Ocean Springs, MS 39564-2117

Mailing address

6650 Rose Farm Rd
Suite a
Ocean Springs, MS 39564-2117
Phone (228) 875-6628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160322001075 MS Order and Referring Only - DentistPractitioner - Dentist 6002113891

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
170275MSMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1649342676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 ROSE FARM RD",
            "address_2": "SUITE A",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395642117",
            "telephone_number": "228-875-6628",
            "fax_number": "228-875-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 ROSE FARM RD",
            "address_2": "SUITE A",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395642117",
            "telephone_number": "228-875-6628",
            "fax_number": "228-875-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMSIK",
        "first_name": "JOHN",
        "middle_name": "S",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "170275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

Verify at the official NPI Registry.