Thomas a Closurdo Jr DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12011946 Issued in IN

Legal business name

THOMAS A CLOSURDO JR DDS PC

Practice address

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

Phone

(574) 288-1900

NPI assigned

Apr 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Thomas A Closurdo Jr., D.D.SNPI 1649617903

Title

President

Phone

(574) 288-1900

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

  • General Practice Dentistry
  • South Bend, IN
  • NPI 1649617903
  NPD Authorized official

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1730576752",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS A CLOSURDO JR DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "CLOSURDO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-288-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201200360",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Theall, LMHC
• Kristine A. Thelen, LCSW
• Therapeutic Indulgence
• Therapeutic Interventions & Solutions
• Samantha Thibos, BCBA
• Thomas P Bathrick DO, PC
• Thomas R Gruszynski MD Inc
• Janiyah Thomas
• Melissa Thomas
• Merinell E Thomas, MA

• 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 Apr 16, 2015; 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.