Organization Active NPI

Thomas G. Friedman DDS, PC

  • General Practice Dentistry
  • Waterloo, IA
National Provider Identifier
1295112746
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
THOMAS G. FRIEDMAN DDS, PC
Practice address
1047 Thorndale Ave
Waterloo, IA 50701-3349
Phone
(319) 235-0164
Fax
(319) 232-4799
NPI assigned
May 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Authorized official

Name
Dr. Michael Vandello, DDS
Title
Owner
Phone
(319) 235-0164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1047 Thorndale Ave
Waterloo, IA 50701-3349

Mailing address

1047 Thorndale Ave
Waterloo, IA 50701-3349
Phone (319) 235-0164

National Provider Directory

National Provider Directory
Tax ID family
Dr Vandello Family Dentistry PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1047 Thorndale Ave
Waterloo, IA 50701
Phone (319) 223-5016

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1295112746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 THORNDALE AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507013349",
            "telephone_number": "319-235-0164",
            "fax_number": "319-232-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1047 THORNDALE AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507013349",
            "telephone_number": "319-235-0164",
            "fax_number": "319-232-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS G. FRIEDMAN DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "VANDELLO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-235-0164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.