Thomas Lawrence Brink, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

030321 Issued in NY

Practice address

24 S Main St
Franklinville, NY 14737-1220

Phone

(716) 676-3637

Fax

(716) 676-2497

NPI assigned

Apr 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801010970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 S MAIN ST",
            "address_2": "PO BOX 195",
            "city": "FRANKLINVILLE",
            "state": "NY",
            "postal_code": "147371220",
            "telephone_number": "716-676-3637",
            "fax_number": "716-676-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 S MAIN ST",
            "city": "FRANKLINVILLE",
            "state": "NY",
            "postal_code": "147371220",
            "telephone_number": "716-676-3637",
            "fax_number": "716-676-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINK",
        "first_name": "THOMAS",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "030321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy A Austin, LPN
• Katie L. Bailey, NP
• Bartholomew's Pharmacy, Inc.
• Jennifer N Blum
• William Edward Boggiano, M.D.
• Randall Buchanan, RPH.
• Robert Paul Buchanan, PHARMACIST
• Jennifer R Callahan, MA CCC-LSLP
• Allyson Ciesla, RN
• Kimberly Sue Claus, LPN

• General Practice Dentistry in Franklinville, NY
• Providers in Franklinville, NY by specialty
• General Practice Dentistry in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.