Individual provider Active NPI

Thomas Nelson Dupuis, DDS

  • Dentist
  • Taylor, MI
National Provider Identifier
1699736199
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901011893 Issued in MI
Practice address
24929 Goddard Rd
Taylor, MI 48180-3930
Phone
(734) 947-3621
Fax
(734) 947-3633
NPI assigned
Apr 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901011893 MI Primary

Addresses

Primary practice location

24929 Goddard Rd
Taylor, MI 48180-3930

Mailing address

24929 Goddard Rd
Taylor, MI 48180-3930
Phone (734) 947-3621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160315001565 MI Order and Referring Only - DentistPractitioner - Dentist 6305142514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901011893MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas N. Dupuis DDS PC 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.

NPI Registry JSON

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699736199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24929 GODDARD RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803930",
            "telephone_number": "734-947-3621",
            "fax_number": "734-947-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24929 GODDARD RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803930",
            "telephone_number": "734-947-3621",
            "fax_number": "734-947-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPUIS",
        "first_name": "THOMAS",
        "middle_name": "NELSON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901011893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

Verify at the official NPI Registry.