Drake Thomas Tollefson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15837 Issued in OH

Practice address

1120 Cottonwood Dr
Suite 1
Loveland, OH 45140-7612

Phone

(513) 683-8600

Fax

(513) 683-8601

NPI assigned

Dec 18, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in OH

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225191869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 COTTONWOOD DR",
            "address_2": "SUITE 1",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451407612",
            "telephone_number": "513-683-8600",
            "fax_number": "513-683-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 COTTONWOOD DR",
            "address_2": "SUITE 1",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451407612",
            "telephone_number": "513-683-8600",
            "fax_number": "513-683-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLEFSON",
        "first_name": "DRAKE",
        "middle_name": "THOMAS",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "15837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Thurman, CDCA
• Christi Jean Tilley, LISW-S
• Valeriy Timofeyev
• Thomas Gerard Todaro, MD
• Vanessa Lindsay Todia, CCC-SLP
• Renee Elizabeth Topala, AGACNP
• Elizabeth Transue, MS, CCC-SLP
• Tri-State Medical & Bariatric Solutions Inc.
• Trihealth HF LLC
• Trustees of Deerfield Township

• General Practice Dentistry in Loveland, OH
• Providers in Loveland, OH by specialty
• General Practice Dentistry in Ohio

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.