Active NPI
Thomas Blount, DDS
- Dentist
- Brewerton, NY
National Provider Identifier
1811289374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 056192
- Practice address
- 9651 Brewerton Rd
Brewerton, NY 13029-9704 - Phone
- (315) 676-7900
- Fax
- (315) 676-7108
- NPI assigned
- May 3, 2011
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 056192 | NY | Primary |
Addresses
Primary practice location
9651 Brewerton Rd
Brewerton, NY 13029-9704
Mailing address
PO Box 189
Brewerton, NY 13029-0189
Phone (315) 676-7900
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056192 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tom McCue IV DDS PC | Dentist | Past | Accepting new patients |
| T P McCue IV DDS PC | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Watertown, NY
- NPI 1336428408
-
- Dentist
- Brewerton, NY
- NPI 1467833210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758240000000",
"number": "1811289374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 189",
"city": "BREWERTON",
"state": "NY",
"postal_code": "130290189",
"telephone_number": "315-676-7900",
"fax_number": "315-676-7108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9651 BREWERTON RD",
"city": "BREWERTON",
"state": "NY",
"postal_code": "130299704",
"telephone_number": "315-676-7900",
"fax_number": "315-676-7108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOUNT",
"first_name": "THOMAS",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-03",
"last_updated": "2025-09-19",
"certification_date": "2025-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "056192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brewerton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.