DR. THOMAS GENE MAGNUSON (NPI# 1265693634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265693634 |
| Entity Type | Individual |
| Full Name | DR. THOMAS GENE MAGNUSON |
| Credential | D.D.S. |
| Practice Address |
4550 S Ironwood Dr South Bend IN 46614-9595 |
| Practice Telephone | 5742990484 |
| Practice Fax Number | 5742990447 |
| Mailing Telephone | 5742990484 |
| Mailing Fax Number | 5742990447 |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-06-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12010309A | IN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619911153 | Thomas Magnuson | Surgery | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2006-06-15 |
| 1962452391 | Thomas M Magnuson | Psychiatry & Neurology | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2006-05-10 |
| Street Address |
4550 S IRONWOOD DR |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46614-9595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417574013 | Hellen Gathesha | Nurse Practitioner | 2123 W Irvington Dr, South Bend, IN 46614 | 2020-06-30 |
| 1033759394 | Diane Galvas | Pharmacist | 1217 E. Ireland Rd., South Bend, IN 46614 | 2020-01-14 |
| 1730668690 | Julenne Henriquez-gil | Physical Therapist | 202 W Ireland Rd Ste 101a, South Bend, IN 46614 | 2018-08-11 |
| 1467747014 | Deidre A Coffey | Nurse Practitioner | 1025 Widener Ln, South Bend, IN 46614 | 2011-06-12 |
| 1588727655 | Wal-mart Stores East, Lp | Technician/Technologist | 700 W. Ireland Rd., South Bend, IN 46614 | 2006-12-19 |
| 1437262847 | Lori F Risser | Dentist | 734 E Ireland Rd, South Bend, IN 46614 | 2006-08-17 |
| 1912388018 | Laura Ellen Albright | Family Medicine | 2102 E Inwood Rd, South Bend, IN 46614 | 2015-06-15 |
| 1245626225 | Kathleen Kelley | Dermatology | 1815 E Ireland Rd, South Bend, IN 46614 | 2015-04-07 |
| 1073869806 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1950 Ridgedale Rd, South Bend, IN 46614 | 2012-07-30 |
| 1326300666 | Kristine Marie Jones | Optometrist | 700 W Ireland Rd, South Bend, IN 46614 | 2012-06-12 |
| Find all providers in zip 46614 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615796 | Himabindu Gogeneni | Dentist | 3575 Portage Ave Ste A, South Bend, IN 46628-6092 | 2020-10-06 |
| 1699241216 | Candace Jane Rich | Dentist | 220 Dean Johnson Blvd Rm 184, South Bend, IN 46601-3415 | 2018-10-22 |
| 1811325665 | Dennis Lee Carter | Dentist | 53360 Crestview Dr, South Bend, IN 46635-1354 | 2013-10-14 |
| 1598034894 | Klopenstine Family Dentistry PC | Dentist | 52120 State Road 933, South Bend, IN 46637-3846 | 2011-12-16 |
| 1730480898 | David Allan Varner | Dentist | 1902 E Ireland Rd, South Bend, IN 46614-2863 | 2010-11-05 |
| 1225264054 | Sridhar Meda | Dentist | 1005 East Lasalle Ave, South Bend, IN 46617 | 2009-06-08 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1427259175 | Nicole Lambert Hurcomb | Dentist | 51584 State Road 933, South Bend, IN 46637-1704 | 2007-05-30 |
| 1609092170 | Jennifer Roberts | Dentist | 1605 N Ironwood Dr, South Bend, IN 46635-1843 | 2007-04-17 |
| 1740326636 | George Washington Surguy | Dentist | 521 East Monroe Street, South Bend, IN 46601-2325 | 2007-01-29 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46614 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.