Thomas Aloysius Closurdo Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12011946A Issued in IN

Practice address

211 N Saint Peter St
South Bend, IN 46617-2823

Phone

(574) 288-1900

Fax

(574) 288-3900

NPI assigned

May 28, 2013

Last updated

Sep 9, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thomas a Closurdo Jr DDS PC

  • General Practice Dentistry
  • South Bend, IN
  • NPI 1730576752
  NPD Authorized official

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1649617903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N SAINT PETER ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172823",
            "telephone_number": "574-288-1900",
            "fax_number": "574-288-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N SAINT PETER ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172823",
            "telephone_number": "574-288-1900",
            "fax_number": "574-288-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOSURDO",
        "first_name": "THOMAS",
        "middle_name": "ALOYSIUS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-28",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011946A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in South Bend, IN
• Providers in South Bend, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.