Individual provider Active NPI

Thomas Barry Clower, D.M.D,P.C

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Austell, GA
National Provider Identifier
1437339017
Registry record updated Nov 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
9626 Issued in GA
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

Updated by the provider on Nov 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9180674MedicaidGA

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

LicenseStateTypeSpecialty
9626GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.