Individual provider Active NPI

Thomas Aul, DDS

  • General Practice Dentistry
  • Rowland Heights, CA
National Provider Identifier
1669675799
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
53050 Issued in CA
Practice address
18761 Colima Rd
Rowland Heights, CA 91748-2949
Phone
(626) 965-5411
Fax
(626) 854-0541
NPI assigned
Jun 6, 2007
Last updated
Mar 22, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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 53050 CA Primary

Addresses

Primary practice location

18761 Colima Rd
Rowland Heights, CA 91748-2949

Mailing address

645 Foxhaven PL
Diamond Bar, CA 91765-1877
Phone (626) 408-7909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160122002214 CA Order and Referring Only - DentistPractitioner - Dentist 5799088878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1669675799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 FOXHAVEN PL",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651877",
            "telephone_number": "626-408-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18761 COLIMA RD",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917482949",
            "telephone_number": "626-965-5411",
            "fax_number": "626-854-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUL",
        "first_name": "THOMAS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowland Heights, CA

Sources for this page

Verify at the official NPI Registry.