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
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160122002214 CA Order and Referring Only - Dentist
Practitioner - Dentist
5799088878

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 53050 CA Primary

Addresses

NPPES NPI Registry

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 22, 2012.

{
    "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.