Active NPI
Thomas Dooley, DMD
- Dentist
- Cincinnati, OH
National Provider Identifier
1215340476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30024242
- Practice address
- 8805 Governors Hill Dr Ste 105
Cincinnati, OH 45249-3312 - Phone
- (513) 683-5677
- NPI assigned
- Jun 5, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30024242 | OH | Primary |
| Dentist | 122300000X | 9455 | KY |
Addresses
Primary practice location
8805 Governors Hill Dr Ste 105
Cincinnati, OH 45249-3312
Mailing address
6016 Glenway Ave
Cincinnati, OH 45211-6318
Phone (513) 683-5677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9455 | KY | MD | Dentist |
| 30024242 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401926400000",
"number": "1215340476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6016 GLENWAY AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452116318",
"telephone_number": "513-683-5677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8805 GOVERNORS HILL DR STE 105",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452493312",
"telephone_number": "513-683-5677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOOLEY",
"first_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-05",
"last_updated": "2014-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30024242",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "9455",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.