Active NPI
Thomas R. Cooney, D.D.S.
- Dental Clinic/Center
- Indianola, IA
National Provider Identifier
1104093566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 7310
- Legal business name
- THOMAS R. COONEY, D.D.S.
- Practice address
- 215 N Buxton St
Indianola, IA 50125-2430 - Phone
- (515) 961-5351
- Fax
- (515) 961-5352
- NPI assigned
- May 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Ray Cooney
- Title
- Owner
- Phone
- (515) 961-5351
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 7310 | IA | Primary |
Addresses
Primary practice location
215 N Buxton St
Indianola, IA 50125-2430
Mailing address
215 N Buxton St
Indianola, IA 50125-2430
Phone (515) 961-5351
National Provider Directory
National Provider DirectoryLocations
215 N Buxton St
Indianola, IA 50125
Phone (515) 961-5351
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Indianola, IA
- NPI 1710958863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210723200000",
"number": "1104093566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 N BUXTON ST",
"city": "INDIANOLA",
"state": "IA",
"postal_code": "501252430",
"telephone_number": "515-961-5351",
"fax_number": "515-961-5352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 N BUXTON ST",
"city": "INDIANOLA",
"state": "IA",
"postal_code": "501252430",
"telephone_number": "515-961-5351",
"fax_number": "515-961-5352"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS R. COONEY, D.D.S.",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-14",
"last_updated": "2008-05-14",
"status": "A",
"authorized_official_last_name": "COONEY",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "RAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "515-961-5351"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "IA",
"license": "7310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianola, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.