Active NPI
Tom Donnelly, DDS
- Public Health Dentistry
- Marion, NC
National Provider Identifier
1063531747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 4895
- Practice address
- 355 Old Glenwood Rd.
Marion, NC 28752 - Phone
- (828) 659-7810
- Fax
- (828) 652-3310
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 4895 | NC | Primary |
Addresses
Primary practice location
355 Old Glenwood Rd.
Marion, NC 28752
Mailing address
7A Hedgerose CT
Asheville, NC 28805-1987
Phone (828) 505-0539
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": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063531747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7A HEDGEROSE CT",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288051987",
"telephone_number": "828-505-0539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 OLD GLENWOOD RD.",
"city": "MARION",
"state": "NC",
"postal_code": "28752",
"telephone_number": "828-659-7810",
"fax_number": "828-652-3310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONNELLY",
"first_name": "TOM",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "NC",
"license": "4895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, NC
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.