Individual provider Active NPI

Thomas William Noone, DMD

  • General Practice Dentistry
  • Myerstown, PA
National Provider Identifier
1922211812
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS029040L Issued in PA
Practice address
219 W Hamilton Ave
Myerstown, PA 17067-2360
Phone
(717) 866-5123
Fax
(717) 866-2967
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 DS029040L PA Primary

Addresses

Primary practice location

219 W Hamilton Ave
Myerstown, PA 17067-2360

Mailing address

219 W Hamilton Ave
Myerstown, PA 17067-2360
Phone (717) 866-5123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160603001601 PA Order and Referring Only - DentistPractitioner - Dentist 9032409073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kegerreis Dental, Inc. General Practice CurrentSince Oct 5, 2021 Accepting new patients
Jeesomin General Practice Past Accepting new patients

Locations

219 W Hamilton Ave
Myerstown, PA 17067
Phone (717) 866-5123

Organizations & group practices 2

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922211812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 W HAMILTON AVE",
            "city": "MYERSTOWN",
            "state": "PA",
            "postal_code": "170672360",
            "telephone_number": "717-866-5123",
            "fax_number": "717-866-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W HAMILTON AVE",
            "city": "MYERSTOWN",
            "state": "PA",
            "postal_code": "170672360",
            "telephone_number": "717-866-5123",
            "fax_number": "717-866-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOONE",
        "first_name": "THOMAS",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS029040L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myerstown, PA

Sources for this page

Verify at the official NPI Registry.