Active NPI
Thomas Joseph Patterson, D.M.D.
- General Practice Dentistry
- Twin Falls, ID
National Provider Identifier
1770037038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D-5112
- Practice address
- 236 River Vista PL Ste 100
Twin Falls, ID 83301-4078 - Phone
- (208) 737-5253
- Fax
- (208) 737-5255
- NPI assigned
- Aug 4, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9867638-9921 | UT | |
| General Practice Dentistry | 1223G0001X | D-5112 | ID | Primary |
Addresses
Primary practice location
236 River Vista PL Ste 100
Twin Falls, ID 83301-4078
Mailing address
236 River Vista PL Ste 100
Twin Falls, ID 83301-4078
Phone (208) 737-5253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- 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 |
|---|---|---|---|---|
| I20220524001901 | ID | Order and Referring Only - Dentist | 6204213648 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9867638-9921 | UT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Services Corporation | Dentist | Past | Accepting new patients |
| Family Health Services Corporation | Dentist | Past | Accepting new patients |
| Family Health Services Corporation | Dentist | Past | Accepting new patients |
| Family Health Services Corporation | General Practice | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- thomas.patterson.p1@direct.fhsid.nextgenshare.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Buhl, ID
- NPI 1003862525
Dentist
-
- Federally Qualified Health Center (FQHC)
- Twin Falls, ID
- NPI 1124571815
Dentist
-
- Federally Qualified Health Center (FQHC)
- Twin Falls, ID
- NPI 1235279217
Dentist
-
- Federally Qualified Health Center (FQHC)
- Shoshone, ID
- NPI 1841932498
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1770037038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 RIVER VISTA PL STE 100",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833014078",
"telephone_number": "208-737-5253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 RIVER VISTA PL STE 100",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833014078",
"telephone_number": "208-737-5253",
"fax_number": "208-737-5255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "THOMAS",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-04",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "9867638-9921",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ID",
"license": "D-5112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.