Thomas Julius Aloe, DMD
Individual provider Active NPI Endodontics · Columbus, OH
NPI 1124868591 · NPPES record last updated May 31, 2024
Key facts
- NPI
- 1124868591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endodontics 1223E0200X
- License
- 30.027587 (OH)
- Practice address
- 305 W 12TH Ave
Columbus, OH 43210-1267 - Phone
- (614) 292-3596
- NPI assigned
- May 31, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240829004619 | OH | Order and Referring Only - Dentist |
8729527080 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 30.027587 | OH | Yes |
Addresses
Primary practice location
305 W 12TH Ave
Columbus, OH 43210-1267
Mailing address
780 Park St Apt 307P
Columbus, OH 43215-2954
Phone (302) 943-8641
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.