Thomas Glenn Ison, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12010534A Issued in IN

Practice address

8966 Ruffian LN
Newburgh, IN 47630-3424

Phone

(812) 490-8070

Fax

(812) 490-8072

NPI assigned

Oct 18, 2005

Last updated

Feb 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

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.

• Thomas G Ison DMD LLC

  dba Pediatric Dentistry of Newburgh

  • Pediatric Dentistry
  • Newburgh, IN
  • NPI 1760201784
  NPD Authorized official
• Aljukic Pediatric Dentistry PLLC

  dba Pediatric Dental Group of Louisville

  • Pediatric Dentistry
  • Louisville, KY
  • NPI 1942932694
  NPD (past)
• Pediatric Dental Group of Louisville

  • Pediatric Dentistry
  • Louisville, KY
  • NPI 1942329495
  NPD (past)

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1831188382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8966 RUFFIAN LN",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476303424",
            "telephone_number": "812-490-8070",
            "fax_number": "812-490-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8966 RUFFIAN LN",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476303424",
            "telephone_number": "812-490-8070",
            "fax_number": "812-490-8072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISON",
        "first_name": "THOMAS",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12010534A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrity Asset Group LLC (Advanced Spine and Rehab Center)
• Interim Healthcare of SE Indiana, Inc. (Interim HealthCare of Evansville)
• Jennifer Anne Ireland, FNP
• Vivian Lynne Ireton, LCSW, LAC
• Felisa Sicat Isom, LMT
• J & P Foster, Inc (ResponseLink of IN-KY)
• J & P Foster, Inc. (ResponseLink of IN-KY)
• Melinda Brown Jackson, M.D., PHD
• Pamela S Jackson, FNP-C
• Jacob Jaco, PA-C

• Pediatric Dentistry in Newburgh, IN
• Providers in Newburgh, IN by specialty
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.