Thomas W Surber, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

12007670 Issued in IN

Practice address

7891 Broadway
Suite F
Merrillville, IN 46410-5556

Phone

(219) 769-6691

Fax

(219) 756-6050

NPI assigned

Sep 19, 2013

Last updated

Sep 19, 2013By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1851727002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7891 BROADWAY",
            "address_2": "SUITE F",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105556",
            "telephone_number": "219-769-6691",
            "fax_number": "219-756-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7891 BROADWAY",
            "address_2": "SUITE F",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105556",
            "telephone_number": "219-769-6691",
            "fax_number": "219-756-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURBER",
        "first_name": "THOMAS",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IN",
            "license": "12007670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Sumpter, LPN
• Suniti Medical Corporation (Premier Oncology Hematology Assoc)
• Sunliteadultdaycare LLC
• Sunrise Home Health Care Services, Inc.
• Superpsyched, LLC
• Surendra J Shah PC
• Suresh D. Reddy, MD, LLC
• Surgical Associates of Northwest Indiana, P.C.
• Survive & Thrive Counseling, Inc.
• Andrew Sutcliffe, DC

• Orthodontics and Dentofacial Orthopedics Dentistry in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.