Thomas C. McKeon, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

6774 Issued in CT

Practice address

1 Torrington Office PLZ
Suite 103
Torrington, CT 06790-3854

Phone

(860) 482-5779

Fax

(860) 496-2345

NPI assigned

Feb 9, 2007

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 Jan 1, 2015 through Jan 1, 2027

Medicare enrollment (NPD)

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.

• O.M.S. Associates, P.C.

  • Oral and Maxillofacial Pathology Dentistry
  • Torrington, CT
  • NPI 1922294685
  NPD (past) Authorized official

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174664403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TORRINGTON OFFICE PLZ",
            "address_2": "SUITE 103",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903854",
            "telephone_number": "860-482-5779",
            "fax_number": "860-496-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TORRINGTON OFFICE PLZ",
            "address_2": "SUITE 103",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903854",
            "telephone_number": "860-482-5779",
            "fax_number": "860-496-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEON",
        "first_name": "THOMAS",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "6774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Potter McGowan, OTR
• Shannon Marie McGrane
• Mackenzi Rae McHugh, MD
• D. James McKay, MD
• John Patrick McKeon, MD
• Elizabeth McLaughlin
• Lisa M McMahon, P.T.
• Elizabeth S McMullan, LCSW
• Cara Medina, LICSW
• Alyssa M Meehan, LCSW

• All providers in Torrington, CT
• Oral and Maxillofacial Surgery (Dentist) in Connecticut

• 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.