Individual provider Active NPI

Thomas Andrew Fuhriman, DDS

  • Dentist
  • Zanesville, OH
National Provider Identifier
1437278694
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21909 Issued in OH
Practice address
740 Princeton Ave
Zanesville, OH 43701-1876
Phone
(740) 453-2176
Fax
(740) 453-5767
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 21909 OH Primary

Addresses

Primary practice location

740 Princeton Ave
Zanesville, OH 43701-1876

Mailing address

740 Princeton Ave
Zanesville, OH 43701-1876
Phone (740) 453-2176

Other identifiers 1

IdentifierTypeStateIssuer
2605596MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160629002821 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3375835986

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21909OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Zanesville Dental LLC Dentist PastSince Jan 1, 2011 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437278694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 PRINCETON AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011876",
            "telephone_number": "740-453-2176",
            "fax_number": "740-453-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 PRINCETON AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011876",
            "telephone_number": "740-453-2176",
            "fax_number": "740-453-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUHRIMAN",
        "first_name": "THOMAS",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "21909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2605596",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.