Active NPI
Thomas F. Plummer, III, DDS, PC
- General Practice Dentistry
- Jamaica, NY
National Provider Identifier
1750553046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 038194
- Legal business name
- THOMAS F. PLUMMER, III, DDS, PC
- Practice address
- 90-53 Sutphin Blvd
2ND Floor
Jamaica, NY 11435 - Phone
- (718) 739-6050
- NPI assigned
- Mar 27, 2008
- Last updated
- Mar 27, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas F. Plummer III, DDS
- Title
- President
- Phone
- (718) 739-6050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 038194 | NY | Primary |
Addresses
Primary practice location
90-53 Sutphin Blvd
2ND Floor
Jamaica, NY 11435
Mailing address
156 Chittenden Avenue
Crestwood, NY 10707-1628
Phone (914) 337-6219
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01136227 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
9053 Sutphin Blvd
Ste 2
Jamaica, NY 11435
Phone (718) 739-6050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206576000000",
"number": "1750553046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 CHITTENDEN AVENUE",
"city": "CRESTWOOD",
"state": "NY",
"postal_code": "107071628",
"telephone_number": "914-337-6219",
"fax_number": "914-771-5216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90-53 SUTPHIN BLVD",
"address_2": "2ND FLOOR",
"city": "JAMAICA",
"state": "NY",
"postal_code": "11435",
"telephone_number": "718-739-6050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS F. PLUMMER, III, DDS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-27",
"last_updated": "2008-03-27",
"status": "A",
"authorized_official_last_name": "PLUMMER",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-739-6050",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "038194",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01136227",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.