Individual provider Active NPI

Thomas O'Doherty, CP

  • Prosthetist
  • Silver Spring, MD
National Provider Identifier
1043418643
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
Practice address
2421 Linden LN
Silver Spring, MD 20910-1230
Phone
(301) 585-5347
Fax
(301) 585-4383
NPI assigned
Jul 5, 2007
Sex
Male
Sole proprietor
No

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
Prosthetist 224P00000X Primary

Addresses

Primary practice location

2421 Linden LN
Silver Spring, MD 20910-1230

Mailing address

2421 Linden LN
Silver Spring, MD 20910-1230
Phone (301) 585-5347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043418643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 LINDEN LN",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101230",
            "telephone_number": "301-585-5347",
            "fax_number": "301-585-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 LINDEN LN",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101230",
            "telephone_number": "301-585-5347",
            "fax_number": "301-585-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DOHERTY",
        "first_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "CP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.