Bryan George Thomas, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901014197 Issued in MI

Practice address

1099 Union Lake Rd
White Lake, MI 48386-4541

Phone

(248) 360-3700

NPI assigned

Mar 4, 2008

Last updated

Mar 4, 2008By the provider in NPPES

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 MI

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bryan G Thomas DDS PC

  • General Practice Dentistry
  • White Lake, MI
  • NPI 1811034036
  NPD (past) Authorized official
• White Lake Dental PLLC

  dba White Lake Dental

  • General Practice Dentistry
  • White Lake, MI
  • NPI 1598527855
  NPD (past)

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1881864015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 UNION LAKE RD",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483864541",
            "telephone_number": "248-360-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 UNION LAKE RD",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483864541",
            "telephone_number": "248-360-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BRYAN",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901014197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nerissa Sukarukoff, CCC-SLP
• Pam Elizabeth Sutter, OTR
• Brooklyn Swift
• Jody Tenjeras, DC
• The Nelson Center for Families
• Andrew Patrick Tippen, SLP
• Township of Whitelake Oakland Co
• Trinity Continuing Care Services (The Neighborhoods of White Lake)
• Elizabeth Trueblood, COTA/L
• Wendy M Turner

• Dentist in White Lake, MI
• Providers in White Lake, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.