Individual provider Active NPI

Thomas A Gromling, DDS

  • General Practice Dentistry
  • Stephens City, VA
National Provider Identifier
1821050139
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
VA 05442 Issued in VA
Practice address
100 Highlander Rd
Stephens City, VA 22655-2914
Phone
(540) 869-4377
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X VA 05442 VA Primary

Addresses

Primary practice location

100 Highlander Rd
Stephens City, VA 22655-2914

Mailing address

100 Highlander Rd
Stephens City, VA 22655-2914
Phone (540) 869-4377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150701000963 VA Practitioner - Oral Surgery 6305087990 Practice locations: Stephens City, VA
O20130723000280 VA DME Supplier - Oral Surgery - Dentist 2365683067 Practice locations: Stephens City, VA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
VA 05442VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1821050139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HIGHLANDER RD",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226552914",
            "telephone_number": "540-869-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHLANDER RD",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226552914",
            "telephone_number": "540-869-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROMLING",
        "first_name": "THOMAS",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "VA 05442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stephens City, VA

Sources for this page

Verify at the official NPI Registry.