Thomas M. Barnes, D.D.S.
Individual provider Active NPI General Practice Dentistry · Mount Vernon, IA
NPI 1376619965 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376619965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 08012 (IA)
- Practice address
- 801 Highway 30 SW
Mount Vernon, IA 52314-9518 - Phone
- (319) 895-8322
- Fax
- (319) 895-8109
- NPI assigned
- Nov 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160115001338 | IA | Order and Referring Only - Dentist |
3870896376 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08012 | IA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dawn M. Gaffney, DDS, LLC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 08012 | IA | Yes |
Addresses
Primary practice location
801 Highway 30 SW
Mount Vernon, IA 52314-9518
Mailing address
801 Highway 30 SW
P.O. Box 202
Mount Vernon, IA 52314-9518
Phone (319) 895-8322
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2279265 | Medicaid | IA |
Other providers in Mount Vernon, IA
- Marla Kay Aboujawdeh
- Jack Aldershof
- Amped Physical Therapy & Performance
- Emily Appleton
- Aurora Aesthetics and Functional Medicine Clinic, PLLC
- Ann Michelle Brase
- Erica Ann Buffington
- Ruth Clark
- Adam Clendenen
- Cornelius Chiropractic Centre, LTD.
All providers in Mount Vernon, IA · General Practice Dentistry in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.