Individual provider Active NPI

Thomas G Alexander, D.D.S.

  • General Practice Dentistry
  • Lexington, NE
National Provider Identifier
1629389747
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6905 Issued in NE
Practice address
1220 N Adams St
Lexington, NE 68850-1621
Phone
(308) 324-7422
NPI assigned
Jun 23, 2010
Last updated
Jul 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6905 NE Primary

Addresses

Primary practice location

1220 N Adams St
Lexington, NE 68850-1621

Mailing address

1220 N Adams St
P.O. Box 940
Lexington, NE 68850-1621
Phone (308) 324-7422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20160108000427 NE Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6901108935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas G. Fagot, DDS, PC General Practice Past Accepting new patients
Thomas G Fagot DDS PC General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1629389747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 N ADAMS ST",
            "address_2": "P.O. BOX 940",
            "city": "LEXINGTON",
            "state": "NE",
            "postal_code": "688501621",
            "telephone_number": "308-324-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 N ADAMS ST",
            "city": "LEXINGTON",
            "state": "NE",
            "postal_code": "688501621",
            "telephone_number": "308-324-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "THOMAS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-23",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, NE

Sources for this page

Verify at the official NPI Registry.