Individual provider Active NPI

Thomas Ray Getreuer, D.D.S.

  • General Practice Dentistry
  • Stamford, CT
National Provider Identifier
1851312441
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6042 Issued in CT
Practice address
95 Morgan St Apt 1a
Stamford, CT 06905-5411
Phone
(203) 327-7498
Fax
(203) 327-9740
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6042 CT Primary

Addresses

Primary practice location

95 Morgan St Apt 1a
Stamford, CT 06905-5411

Mailing address

95 Morgan St Apt 1a
Stamford, CT 06905-5411
Phone (203) 327-7498

Other identifiers 1

IdentifierTypeStateIssuer
20700541MedicaidCT

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

State licenses

LicenseStateTypeSpecialty
6042CTMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851312441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MORGAN ST APT 1A",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055411",
            "telephone_number": "203-327-7498",
            "fax_number": "203-327-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MORGAN ST APT 1A",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055411",
            "telephone_number": "203-327-7498",
            "fax_number": "203-327-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GETREUER",
        "first_name": "THOMAS",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "6042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20700541",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

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.

Verify at the official NPI Registry.