Thomas E. Tomelin, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5596 Issued in KY

Practice address

103 Landmark Dr
LL2
Bellevue, KY 41073

Phone

(859) 655-6100

Fax

(859) 655-6148

NPI assigned

Apr 17, 2006

Last updated

Sep 6, 2018By 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 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1780648642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 MADISON AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410113313",
            "telephone_number": "859-655-6100",
            "fax_number": "859-655-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 LANDMARK DR",
            "address_2": "LL2",
            "city": "BELLEVUE",
            "state": "KY",
            "postal_code": "41073",
            "telephone_number": "859-655-6100",
            "fax_number": "859-655-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMELIN",
        "first_name": "THOMAS",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30019585",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "5596",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "5596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123440",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60055969",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maximilian Martin Stepaniak
• Mindy Sydnor, APRN
• Taylor Thomas
• Michael S. Thompson, D.C.
• Thor Tangvald M.D. Inc. (Tangvald Frenkel and Associates Or Tangvald M.D. and Associates)
• Sarah Elizabeth Viverette, MD
• Jerome Robert Vonderhaar, OTR/L
• Kevin S Wall, D.M.D
• Christie Lynn Watson, LISW-S
• Michelle Watters, PHARMD

• General Practice Dentistry in Bellevue, KY
• Providers in Bellevue, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.