Thomas James Rea, D.D.S., M.S.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

9643 Issued in MI

Practice address

856 Surrey LN
Petoskey, MI 49770-9027

Phone

(231) 347-3659

NPI assigned

Dec 27, 2007

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)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Harbor Pointe Dental

  • Dentist
  • Petoskey, MI
  • NPI 1649495995
  NPD (past)

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1992989735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 SURREY LN",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709027",
            "telephone_number": "231-347-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 SURREY LN",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709027",
            "telephone_number": "231-347-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REA",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MI",
            "license": "9643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R D Ferguson DO, PC
• Meghan A Radocy, DPT
• Rapin & Rapin Inc
• Mary Elizabeth Rapin, RPH
• Raymond Blaine Rawson, MD
• Reactive Physical Therapy and Wellness
• Real Life Counseling of Northern Michigan
• Lindsay Reckinger, AU.D.
• Paul William Reed, D.D.S.. M.S.
• Amanda Marie Reeves

• All providers in Petoskey, MI
• Prosthodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.