Thomas David McCoy, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7564 Issued in IA

Practice address

825 E Main St
Manchester, IA 52057-1838

Phone

(563) 927-5415

Fax

(563) 927-3542

NPI assigned

Jul 18, 2006

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

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Alex Silvia DMD LLC

  • Dental Clinic/Center
  • Mequon, WI
  • NPI 1912858069
  NPD
• Shelby Nelson DMD, LLC

  • Dental Clinic/Center
  • Brentwood, TN
  • NPI 1154188944
  NPD
• Applewhite Dental Iowa PC

  • General Practice Dentistry
  • Manchester, IA
  • NPI 1225698046
  NPD (past)
• Manchester Dental DC

  • Dentist
  • Manchester, IA
  • NPI 1932285830
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256515200000",
    "number": "1942228754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 E MAIN ST",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520571838",
            "telephone_number": "563-927-5415",
            "fax_number": "563-927-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 E MAIN ST",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520571838",
            "telephone_number": "563-927-5415",
            "fax_number": "563-927-3542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "THOMAS",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2009-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "7564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Ann Mactaggart, CPNP-PC
• Manchester Dental DC
• Manchester Family Vision Center PC
• Nikolas S May, M.D.
• Sara Mae McCool, ARNP
• Kyle McGrane, DC
• Cynthia K McKenzie
• Garrett McLean, MD
• Ann Marie Mead, PA-C
• Daniel E Mersch, OD

• General Practice Dentistry in Manchester, IA
• Providers in Manchester, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.