Organization Active NPI

Thomas F. Plummer, III, DDS, PC

  • General Practice Dentistry
  • Jamaica, NY
National Provider Identifier
1750553046
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
038194 Issued in NY
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01136227MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.