Thomas D Pausma, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

1001349-15 Issued in WI

Practice address

1307 Wi-69
New Glarus, WI 53574

Phone

(608) 291-4005

NPI assigned

Jul 28, 2016

Last updated

Jul 28, 2016By 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

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• 608 Dental Associates LLC

  • Dentist
  • Sun Prairie, WI
  • NPI 1174132591
  NPD Authorized official

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1699228411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 WI-69",
            "city": "NEW GLARUS",
            "state": "WI",
            "postal_code": "53574",
            "telephone_number": "608-291-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 WI-69",
            "city": "NEW GLARUS",
            "state": "WI",
            "postal_code": "53574",
            "telephone_number": "608-291-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUSMA",
        "first_name": "THOMAS",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001349-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Glarus Home, Inc
• Angela Carol O'Bel, MS, CCC-SLP
• Tim Allen Obert, MS, CPS, SAC, CCDS
• Christi Orozco
• Alivia Marie Palmer, BT
• Maureen Casey Priewe, OTR/L
• Gaines E Richardson, MD
• Rachel Root
• Julie Mae Schmitt
• Peter James Schmitt, D.C.

• Dentist in New Glarus, WI
• Providers in New Glarus, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.