Individual provider Active NPI

Thomas Griffith Duncan Jr., DDS

  • Dentist
  • Goldsboro, MD
National Provider Identifier
1124222369
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9757 Issued in MD
Practice address
316 Railroad Ave
Goldsboro, MD 21636
Phone
(410) 482-2224
Fax
(410) 482-2511
NPI assigned
Jun 12, 2007
Last updated
Jan 26, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9757 MD Primary

Addresses

Primary practice location

316 Railroad Ave
Goldsboro, MD 21636

Mailing address

316 Railroad Ave
PO Box 122
Goldsboro, MD 21336
Phone (410) 482-2224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160218001775 MD Order and Referring Only - DentistPractitioner - Dentist 7618272295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1124222369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 RAILROAD AVE",
            "address_2": "PO BOX 122",
            "city": "GOLDSBORO",
            "state": "MD",
            "postal_code": "21336",
            "telephone_number": "410-482-2224",
            "fax_number": "410-482-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 RAILROAD AVE",
            "city": "GOLDSBORO",
            "state": "MD",
            "postal_code": "21636",
            "telephone_number": "410-482-2224",
            "fax_number": "410-482-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "THOMAS",
        "middle_name": "GRIFFITH",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "9757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, MD

Sources for this page

Verify at the official NPI Registry.