Active NPI
George Edward Tolson V, DMD
- Periodontics
- Oakland Park, FL
National Provider Identifier
1619538832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 22218
- Practice address
- 1739 E Commercial Blvd
Oakland Park, FL 33334-5737 - Phone
- (954) 368-9891
- NPI assigned
- Jun 27, 2019
- Last updated
- Jun 27, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 22218 | FL | Primary |
Addresses
Primary practice location
1739 E Commercial Blvd
Oakland Park, FL 33334-5737
Mailing address
8120 Cleary Blvd Apt 1215
Plantation, FL 33324-1372
Phone (703) 314-5959
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191025000626 | FL | Order and Referring Only - Dentist | 8729310602 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22218 | FL | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1619538832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8120 CLEARY BLVD APT 1215",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333241372",
"telephone_number": "703-314-5959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1739 E COMMERCIAL BLVD",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333345737",
"telephone_number": "954-368-9891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLSON",
"first_name": "GEORGE",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"name_suffix": "V",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-27",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "22218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland Park, FL
- Dorian Willis Thomas, MS
- Thrivewell Medical LLC
- Shelby Tice
- Tiny Kids Corp
- Ryan Michael Tocarchick, LMHC
- Angela Lee Tomaschko, MD
- Total Renal Care Inc (Fort Lauderdale Dixie Dialysis)
- Total Renal Care Inc (Advanced Dialysis Center of Fort Lauderdale)
- Totalcare Home & Health Solutions LLC
- Towncare Dental of Fort Lauderdale PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.