Thomas J Birong, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

21453 Issued in OH

Practice address

1040 Trump Road
St a
Carrollton, OH 44615

Phone

(330) 627-5666

Fax

(330) 627-7889

NPI assigned

Aug 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healthy Sleep Center

  • Durable Medical Equipment & Medical Supplies
  • Carrollton, OH
  • NPI 1881254233
  NPD
• Berg & Birong DDS LLC

  • Dentist
  • Carrollton, OH
  • NPI 1588676068
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1194737692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 TRUMP ROAD",
            "address_2": "ST 300",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "44615",
            "telephone_number": "330-627-5666",
            "fax_number": "330-627-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 TRUMP ROAD",
            "address_2": "ST A",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "44615",
            "telephone_number": "330-627-5666",
            "fax_number": "330-627-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRONG",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "30.021453",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "21453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2387251",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Belle'S Houlse, LLC
• Berg & Birong DDS LLC
• Norman Kent Berg, DDS
• Nicole Lynn Berkoski
• James P Birong, DDS
• Andrew Bogner
• Amanda Lyn Borland
• Tara Jo Bowe
• Briar Hill Foods
• Krystal Bristow, STNA

• Dentist in Carrollton, OH
• Providers in Carrollton, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.