DR. JUSTIN LEWIS TOMACK DMD
NPI 1134746464
Dentist - Periodontics in Wake Forest, NC

Q: What is Justin Tomack's NPI number?

The NPI number for Justin Tomack is 1134746464. It was assigned to this individual provider in the NPPES registry on July 2, 2020.

Q: What is Justin Tomack's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: Is Justin Tomack enrolled in Medicare?

No. Justin Tomack has opted out of Medicare through July 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Justin Tomack was last updated on June 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 02, 2020Opted out of Medicare · through Jul 12, 2027

1725 S MAIN ST STE 101, WAKE FOREST, NC 27587(919) 841-1720 Get Directions Write a Review

NPPES record last updated: June 4, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 4, 2023, Jul 29, 2020, Jul 2, 2020 (3 updates tracked since 2020).

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About Dr. Justin Lewis Tomack Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JUSTIN LEWIS TOMACK DMD (NPI 1134746464) is an individual periodontics provider in Wake Forest, North Carolina, licensed in North Carolina (12463) and active in the NPI registry since July 2020. He has opted out of Medicare through July 12, 2027.

NPPES Registry Identity

NPI1134746464

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. JUSTIN LEWIS TOMACKCredential: DMD

Location Address1725 S MAIN ST STE 101Wake Forest, NC 27587-5012

Mailing Address1725 S Main St Ste 101Wake Forest, NC 27587-5012 · (919) 841-1720

Phone(919) 841-1720

Sole ProprietorNo

Enumeration DateJuly 2, 2020

Last NPPES UpdateJune 4, 20233 updates tracked since enumeration

NPPES CertifiedJune 4, 2023

✔ NPI 1134746464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in NC · 12463

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Also ListedDentistTaxonomy 122300000X · License DN1858766 (MA)

1725 S MAIN ST STE 101, Wake Forest, NC 27587

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Justin Lewis Tomack Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 12, 2023 through July 12, 2027.

Opt-Out Effective DateJuly 12, 2023

Opt-Out In Effect ThroughJuly 12, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Tomack's NPI number?

The NPI number for Justin Tomack is 1134746464. It was assigned to this individual provider in the NPPES registry on July 2, 2020.

Where is Justin Tomack located?

Justin Tomack practices at 1725 S Main St Ste 101, Wake Forest, NC 27587. The listed phone number is (919) 841-1720.

What is Justin Tomack's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Justin Tomack enrolled in Medicare?

No. Justin Tomack has opted out of Medicare through July 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Justin Tomack accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Justin Tomack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Justin Tomack was last updated on June 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.