Thomas Albert Ding, DDS, MS
Individual provider Active NPI Prosthodontics · Basalt, CO
NPI 1194841858 · NPPES record last updated Jul 23, 2008
Key facts
- NPI
- 1194841858
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prosthodontics 1223P0700X
- License
- 9525 (CO)
- Practice address
- 23264 Two Rivers Rd
Basalt, CO 81621-9251 - Phone
- (970) 927-3776
- Fax
- (970) 927-9015
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9525 | CO | MD | Prosthodontist |
| 19712 | TX | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David N Fishman DDS PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 19712 | TX | |
| Prosthodontics | 1223P0700X | 9525 | CO | Yes |
Addresses
Primary practice location
23264 Two Rivers Rd
Basalt, CO 81621-9251
Mailing address
PO Box 1597
23264 Two Rivers Road
Basalt, CO 81621-1597
Phone (970) 927-3776
Other providers in Basalt, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.