Active NPI
Thomas Barry Clower, D.M.D,P.C
- Orthodontics and Dentofacial Orthopedics Dentistry
- Austell, GA
National Provider Identifier
1437339017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 9626
- Practice address
- 1595 Mulkey Rd
Austell, GA 30106-1111 - Phone
- (770) 948-1000
- Fax
- (770) 948-4699
- NPI assigned
- Nov 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 9626 | GA | Primary |
Addresses
Primary practice location
1595 Mulkey Rd
Austell, GA 30106-1111
Mailing address
1595 Mulkey Rd
Austell, GA 30106-1111
Phone (770) 948-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9180674 | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9626 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T. Barry Clower, DMD, PC | Orthodontics and Dentofacial Orthopedics | Past | 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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Austell, GA
- NPI 1568384188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194825600000",
"number": "1437339017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1595 MULKEY RD",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061111",
"telephone_number": "770-948-1000",
"fax_number": "770-948-4699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1595 MULKEY RD",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061111",
"telephone_number": "770-948-1000",
"fax_number": "770-948-4699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOWER",
"first_name": "THOMAS",
"middle_name": "BARRY",
"name_prefix": "Dr.",
"credential": "D.M.D,P.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-12",
"last_updated": "2007-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "GA",
"license": "9626",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9180674",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.