Organization Active NPI

Thomas R. Cooney, D.D.S.

  • Dental Clinic/Center
  • Indianola, IA
National Provider Identifier
1104093566
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7310 Issued in IA
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

Updated by the provider on May 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thomas Ray CooneyNPI 1710958863
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.