Edmund Frank Tobias, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

402 Fox Glen Drive
Barrington, IL 60010

Phone

(847) 381-5654

Fax

(847) 381-0229

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 24, 2011 through Sep 24, 2027

Medicare enrollment (NPD)

Enrolled

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.

• Magnolia Family Dentistry LLC

  • Dental Clinic/Center
  • Barrington, IL
  • NPI 1891351094
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104997816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 FOX GLEN DRIVE",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "60010",
            "telephone_number": "847-381-5654",
            "fax_number": "847-381-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 FOX GLEN DRIVE",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "60010",
            "telephone_number": "847-381-5654",
            "fax_number": "847-381-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIAS",
        "first_name": "EDMUND",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leroy Stewart Thomson III, M.D.
• Thrive OB SC
• Thrive OB SC
• Germaine L Timlin, PT
• Meghana Tipparthy
• Douglas A Tomasian, MD
• Becky Tomazin, LPC
• Tahlia Alexandra Toni, PA-C
• Jacqueline Cuisinier Torres
• Kristen Klett Tosaw, FNP-C

• General Practice Dentistry in Barrington, IL
• Providers in Barrington, IL by specialty
• General Practice Dentistry in Illinois

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.