Thomas Allen Iverson, D.D.S., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

33473 Issued in CA

Practice address

871 Gray Ave
Yuba City, CA 95991-3635

Phone

(530) 671-2940

Fax

(530) 671-5173

NPI assigned

Jun 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Iverson-Vota, a Dental Corp

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Yuba City, CA
  • NPI 1720392756
  NPD (past) Authorized official

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1811992241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 GRAY AVE",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913635",
            "telephone_number": "530-671-2940",
            "fax_number": "530-671-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 GRAY AVE",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913635",
            "telephone_number": "530-671-2940",
            "fax_number": "530-671-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERSON",
        "first_name": "THOMAS",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "33473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Interim Assisted Care of Northern California (Interim HealthCare Personal Care & Support Services)
• Susie Z Irons, ASW
• John A Iskikian, M.D.
• Valeria Iturrizaga
• Iverson-Vota, a Dental Corp
• Behnaz Jabaripour, DPT
• Sherwyn Jack
• Amber Rae Jackson, DPT
• Jolanda Natasja Jackson
• Yvonne Emily Jackson, FNP

• Orthodontics and Dentofacial Orthopedics Dentistry in Yuba City, CA
• Providers in Yuba City, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.