Thomas M Nussear, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12633MD Issued in MD

Practice address

40 South Main Street
Smithsburg, MD 21783

Phone

(301) 824-2080

Fax

(301) 824-4252

NPI assigned

Nov 2, 2006

Last updated

Jul 8, 2007By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699853960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246",
            "address_2": "40 SOUTH MAIN STREET",
            "city": "SMITHSBURG",
            "state": "MD",
            "postal_code": "21783",
            "telephone_number": "301-824-2080",
            "fax_number": "301-824-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SOUTH MAIN STREET",
            "city": "SMITHSBURG",
            "state": "MD",
            "postal_code": "21783",
            "telephone_number": "301-824-2080",
            "fax_number": "301-824-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSSEAR",
        "first_name": "THOMAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "12633MD",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS03144PA",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI",
            "identifier": "750681",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Maxsell
• Felicity Mayhew
• Medical Practices of Antietam LLC
• Dipti Mohanlal Mistry, MD
• Jennifer Lynn Nunnelee, PA
• Jason T O'Neal, PHARMD
• Matthew E Paper, D.D.S.
• Bryan Jeffrey Peralta
• Linda Potts, ND,DCRC,RN,MBA,MBE
• Gary Schwartz

• Dentist in Smithsburg, MD
• Providers in Smithsburg, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.