Tom L Pooley

Primary specialty

DentistTaxonomy code 122300000X

License

D12049 Issued in MN

Legal business name

TOM L POOLEY

Practice address

124 E Walnut St
Ste 300
Mankato, MN 56001

Phone

(507) 388-3384

Fax

(507) 388-6079

NPI assigned

Sep 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Tom L Pooley, DDSNPI 1588939607

Title

Dentist Owner

Phone

(507) 388-3384

Specialties & licenses 1

Addresses

Other names 1

• River Valley Dental Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tom L Pooley, DDS

  • Dentist
  • Mankato, MN
  • NPI 1588939607
  NPD (past) Authorized official

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1275636615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E WALNUT ST",
            "address_2": "STE 300",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "56001",
            "telephone_number": "507-388-3384",
            "fax_number": "507-388-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E WALNUT ST",
            "address_2": "STE 300",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "56001",
            "telephone_number": "507-388-3384",
            "fax_number": "507-388-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM L POOLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "POOLEY",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "507-388-3384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Valley Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Thiha Tin, MD
• Eva-Noelle Taylor Todd
• Jacquelin Ann Tohal, LICSW
• Amber Jacklyn Tokie
• Tom Allen, PHD, PLLC
• Kevin J Torbenson, D.D.S.
• Jennifer Torgerson
• Logan Russell Torgerson
• Jared Torkelson, PA-C
• Dustin Michael Torvick, APRN

• Dentist in Mankato, MN
• Providers in Mankato, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.