Individual provider Active NPI

Thomas J Veraldi, DMD

  • Pediatric Dentistry
  • Columbia, MO
National Provider Identifier
1811943616
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
014227 Issued in MO
Practice address
200 Portland St
Columbia, MO 65201-6525
Phone
(844) 853-8937
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 30.025235 OH
Pediatric Dentistry 1223P0221X 2901021771 MI
Pediatric Dentistry 1223P0221X DDS-10201 IA
Pediatric Dentistry 1223P0221X 014227 MO Primary

Addresses

Primary practice location

200 Portland St
Columbia, MO 65201-6525

Mailing address

882 Cleveland Ave
Dubuque, IA 52003-7525

Other practice location 1

1690 Elm St Ste 300
Dubuque, IA 52001-3679
Phone (563) 690-5206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260310000331 MO Practitioner - DentistPractitioner - Pediatric Dentistry 2466726526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DentistAlso: Pediatric Dentistry
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1800 Community
Clinton, MO 64735-8804

307 Nichols Dr
Greenville, NC 27858-4904

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DDS-10201IAMDPediatric Dentist
2901021771MIMDPediatric Dentist
014227MOMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health, Inc CurrentSince Feb 9, 2026 Accepting new patients
Children'S Hospital Medical Center of Akron CurrentSince Sep 13, 2017 Accepting new patients
Children'S Hospital Medical Center of Akron Current Accepting new patients
Compass Health, Inc CurrentSince Feb 9, 2026 Accepting new patients
Children'S Hospital Medical Center of Akron CurrentSince Sep 13, 2017 Accepting new patients

Locations

303 N Keene St
Ste 202
Columbia, MO 65201
Phone (573) 442-8885

2475 Broadway Bluffs Dr
Ste 200
Columbia, MO 65201
Phone (573) 777-9282

1101 N Providence Rd
Columbia, MO 65203
Phone (573) 777-8997

1001 W Worley St
Columbia, MO 65203
Phone (573) 214-2314

200 Portland St
Columbia, MO 65201
Phone (573) 886-4600

1600 N Missouri Ave
Marceline, MO 64658
Phone (660) 376-2038

1517 Union Ave
Ste C
Moberly, MO 65270
Phone (660) 263-4800

307 S Broadway
Salisbury, MO 65281
Phone (660) 388-6446

1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1811943616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "882 CLEVELAND AVE",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520037525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PORTLAND ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016525",
            "telephone_number": "844-853-8937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1690 Elm St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Dubuque",
            "state": "IA",
            "postal_code": "520013679",
            "country_code": "US",
            "telephone_number": "563-690-5206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERALDI",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30.025235",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MI",
            "license": "2901021771",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IA",
            "license": "DDS-10201",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MO",
            "license": "014227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.