Thomas Albert Mounsdon, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

06687 Issued in IA

Practice address

201 E 1St St
Leon, IA 50144-1642

Phone

(641) 446-7766

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Thomas Albert Mounsdon Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Leon General Dentistry

  • Dental Clinic/Center
  • Leon, IA
  • NPI 1083881379
  NPD (past) Authorized official

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104848340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 1ST ST",
            "city": "LEON",
            "state": "IA",
            "postal_code": "501441642",
            "telephone_number": "641-446-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 1ST ST",
            "city": "LEON",
            "state": "IA",
            "postal_code": "501441642",
            "telephone_number": "641-446-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNSDON",
        "first_name": "THOMAS",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "06687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0059493",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "MOUNSDON",
            "middle_name": "ALBERT",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jordan Marie McCloney, NP-C
• Scott M Mial, MD
• Prasad S Mikkilineni, MD
• Phyllis A Miller, RPH
• Tarah Tiffany Moore
• Dana Marie Palmer
• Michaella Marie Power
• Larry Wayne Richard, MD
• Pamela J Sherman, MHC
• Robert Leslie Smith, DDS

• All providers in Leon, IA
• General Practice Dentistry in Iowa

• 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.