Active NPI
Thomas C. Stokes II, D.D.S.
- General Practice Dentistry
- Michigan City, IN
National Provider Identifier
1780742452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12007956A
- Practice address
- 4212 E Michigan Blvd
Michigan City, IN 46360-3131 - Phone
- (219) 874-7224
- Fax
- (219) 879-8153
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12007956A | IN | Primary |
Addresses
Primary practice location
4212 E Michigan Blvd
Michigan City, IN 46360-3131
Mailing address
4212 E Michigan Blvd
Michigan City, IN 46360-3131
Phone (219) 874-7224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan City Dental, P.C. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Michigan City, IN
- NPI 1932267515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780742452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4212 E MICHIGAN BLVD",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463603131",
"telephone_number": "219-874-7224",
"fax_number": "219-879-8153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4212 E MICHIGAN BLVD",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463603131",
"telephone_number": "219-874-7224",
"fax_number": "219-879-8153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOKES",
"first_name": "THOMAS",
"middle_name": "C.",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12007956A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Michigan City, IN
Sources for this page
- 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.