Jeffrey Tom DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

238232 Issued in CA

Legal business name

JEFFREY TOM DDS INC

Practice address

72415 Parkview Dr
Palm Desert, CA 92260

Phone

(760) 568-5928

Fax

(760) 568-5192

NPI assigned

Feb 16, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey FMD Tom, DDS

Title

Dentist

Phone

(760) 568-5928

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790829679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72415 PARKVIEW DRIVE",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "92260",
            "telephone_number": "760-568-5928",
            "fax_number": "760-568-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72415 PARKVIEW DR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "92260",
            "telephone_number": "760-568-5928",
            "fax_number": "760-568-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY TOM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOM",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "FMD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "760-568-5928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "238232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.