Individual provider Active NPI

Neil Wayne Thomas, D.D.S.

  • General Practice Dentistry
  • Brighton, MI
National Provider Identifier
1902828387
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10577 Issued in MI
Practice address
5841 Whitmore Lake Rd
Suite D
Brighton, MI 48116-2470
Phone
(810) 227-5136
Fax
(810) 227-5612
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

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 10577 MI Primary

Addresses

Primary practice location

5841 Whitmore Lake Rd
Suite D
Brighton, MI 48116-2470

Mailing address

1445 Oak Hollow Dr
Milford, MI 48380-4264
Phone (248) 676-2146

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150731014327 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1254499429

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10577MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Brighton Dental P.L.C General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902828387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 OAK HOLLOW DR",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483804264",
            "telephone_number": "248-676-2146",
            "fax_number": "248-684-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 WHITMORE LAKE RD",
            "address_2": "SUITE D",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481162470",
            "telephone_number": "810-227-5136",
            "fax_number": "810-227-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "NEIL",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "10577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.