Thomas Ray Cooney, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

07310 Issued in IA

Practice address

215 N Buxton St
Indianola, IA 50125-2430

Phone

(515) 961-5351

Fax

(515) 961-5352

NPI assigned

Jan 27, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Thomas R. Cooney, D.D.S.

  • Dental Clinic/Center
  • Indianola, IA
  • NPI 1104093566
  NPD (past) Authorized official

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1710958863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N BUXTON ST",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501252430",
            "telephone_number": "515-961-5351",
            "fax_number": "515-961-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N BUXTON ST",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501252430",
            "telephone_number": "515-961-5351",
            "fax_number": "515-961-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COONEY",
        "first_name": "THOMAS",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "07310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0050054",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clifford Charles Collins, D.D.S.
• Susan Comer, MD
• Compass Life Resources, LLC
• Michael Harvey Cooley
• Nanette K Cooley, RPH
• Annette Corbett, MPT
• Countryside Medical Clinic, LLC
• County of Warren (Warren County Health Services)
• County of Warren (Warren County Health Services)
• Crain Chiropractic Corporation (Crain Chiropractic Clinic)

• General Practice Dentistry in Indianola, IA
• Providers in Indianola, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.