Organization Active NPI

Thomas R O'Leary DDS PA

Doing business as Thomas O'Leary Dentistry

  • General Practice Dentistry
  • Statesville, NC
National Provider Identifier
1790174035
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
THOMAS R O'LEARY DDS PA
Doing business as
Thomas O'Leary Dentistry
Practice address
701 Hartness Rd
Statesville, NC 28677-3424
Phone
(704) 775-4676
Fax
(704) 775-4677
NPI assigned
Jan 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Authorized official

Name
Dr. Thomas Raymond O'Leary, DDSNPI 1437374964
Title
Owner
Phone
(704) 775-4676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

701 Hartness Rd
Statesville, NC 28677-3424

Mailing address

701 Hartness Rd
Statesville, NC 28677-3424
Phone (704) 775-4676

Other names 1

  • Thomas O'Leary Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

701 Hartness Rd
Statesville, NC 28677
Phone (704) 872-9815

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1790174035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 HARTNESS RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773424",
            "telephone_number": "704-775-4676",
            "fax_number": "704-775-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 HARTNESS RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773424",
            "telephone_number": "704-775-4676",
            "fax_number": "704-775-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS R O'LEARY DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "O'LEARY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-775-4676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas O'Leary Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.