Individual provider Active NPI

Thomas Edward Gaffaney, D.D.S.

  • Periodontics
  • Whittier, CA
National Provider Identifier
1275625774
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
27616 Issued in CA
Practice address
9209 Colima Rd Ste 2500
Whittier, CA 90605-1817
Phone
(562) 698-2561
NPI assigned
Sep 29, 2006
Last updated
May 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 27616 CA Primary

Addresses

Primary practice location

9209 Colima Rd Ste 2500
Whittier, CA 90605-1817

Mailing address

9209 Colima Rd Ste 2500
Whittier, CA 90605-1817
Phone (562) 698-2561

Other identifiers 1

IdentifierTypeStateIssuer
953516259OtherCAFEDERAL ID NUMBER

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

LicenseStateTypeSpecialty
27616CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1275625774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9209 COLIMA RD STE 2500",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051817",
            "telephone_number": "562-698-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9209 COLIMA RD STE 2500",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051817",
            "telephone_number": "562-698-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAFFANEY",
        "first_name": "THOMAS",
        "middle_name": "EDWARD",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "27616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL ID NUMBER",
            "identifier": "953516259",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.