Individual provider Active NPI

Barrett Ross Tolley, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Tallahassee, FL
National Provider Identifier
1356362149
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN17462 Issued in FL
Practice address
3330 Capital Oaks Dr
Tallahassee, FL 32308-4513
Phone
(850) 386-4602
Fax
(850) 386-4206
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN17462 FL Primary

Addresses

Primary practice location

3330 Capital Oaks Dr
Tallahassee, FL 32308-4513

Mailing address

3330 Capital Oaks Dr Ste 1
Tallahassee, FL 32308-4513
Phone (850) 386-4602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080626000301 FL Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 0547332165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3330 Capital Oaks Dr
Tallahassee, FL 32308-4513
Phone (850) 386-4602

Hospital & facility affiliations

  • HCA Florida Capital Hospital Hospital, Tallahassee, FL, CCN 100254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oral & Facial Surgery Center of Tallahassee, P.a. Oral and Maxillofacial Surgery Current Accepting new patients
Oral and Facial Surgery Center of Tallahassee Oral and Maxillofacial Surgery CurrentSince Sep 4, 2007 Accepting new patients

Locations

3330 Capital Oaks Dr
Tallahassee, FL 32308
Phone (850) 386-4602

3330 Capital Oaks Dr
Ste 1
Tallahassee, FL 32308

Interoperability endpoints

  • Direct secure messaging: btolley21459@tallahasseememorial.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1356362149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 CAPITAL OAKS DR STE 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084513",
            "telephone_number": "850-386-4602",
            "fax_number": "850-386-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 CAPITAL OAKS DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084513",
            "telephone_number": "850-386-4602",
            "fax_number": "850-386-4206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLEY",
        "first_name": "BARRETT",
        "middle_name": "ROSS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN17462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.