Organization Active NPI

Donald S. Tom, D.M.D., a Professional Corporation

  • General Practice Dentistry
  • Camarillo, CA
National Provider Identifier
1942441548
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31539 Issued in CA
Legal business name
DONALD S. TOM, D.M.D., A PROFESSIONAL CORPORATION
Practice address
5051 Verdugo Way
Suite 140
Camarillo, CA 93012-8680
Phone
(805) 383-2363
Fax
(805) 383-2712
NPI assigned
Mar 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Dr. Donald S. Tom, D.M.D.
Title
President
Phone
(805) 383-2363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 31539 CA Primary

Addresses

Primary practice location

5051 Verdugo Way
Suite 140
Camarillo, CA 93012-8680

Mailing address

5051 Verdugo Way
Suite 140
Camarillo, CA 93012-8680
Phone (805) 383-2363

National Provider Directory

National Provider Directory

Locations

5051 Verdugo Way
Ste 140
Camarillo, CA 93012
Phone (805) 383-2363

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1942441548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5051 VERDUGO WAY",
            "address_2": "SUITE 140",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128680",
            "telephone_number": "805-383-2363",
            "fax_number": "805-383-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 VERDUGO WAY",
            "address_2": "SUITE 140",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128680",
            "telephone_number": "805-383-2363",
            "fax_number": "805-383-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD S. TOM, D.M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "TOM",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-383-2363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.