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DR. THOMAS GREGORY WADDELL DDS
NPI 1043304322
Dentist - General Practice in La Mesa, CA

Active since October 03, 2006PECOS Enrolled
5565 GROSSMONT CENTER DR, SUITE 356, LA MESA, CA 91942(619) 461-1900(619) 461-6581 Get Directions Write a Review

NPPES record last updated: January 10, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thomas Gregory Waddell Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS GREGORY WADDELL DDS (NPI 1043304322) is an individual general practice provider in La Mesa, California, licensed in California (23680) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043304322
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. THOMAS GREGORY WADDELLCredential: DDS
Location Address5565 GROSSMONT CENTER DR, SUITE 356La Mesa, CA 91942-3020
Mailing Address5565 Grossmont Center Dr, Suite 356La Mesa, CA 91942-3020 · (619) 461-1900 · Fax (619) 461-6581
Phone(619) 461-1900
Fax(619) 461-6581
Sole ProprietorYes
Enumeration DateOctober 3, 2006
Last NPPES UpdateJanuary 10, 2013
✔ NPI 1043304322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 23680
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5565 GROSSMONT CENTER DR, La Mesa, CA 91942
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas Gregory Waddell Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91942 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEREMIAH MOLES MD
Otolaryngology
5565 GROSSMONT CENTER DR, BLDG 3 SUITE 101
LA MESA, CA 91942
San Diego County (619) 464-3353
RONALD M JOHNSON MD MEDICAL CORP
Surgery
5565 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (619) 740-4145
DR. MICHAEL H. FENN M.D.
Otolaryngology
5565 GROSSMONT CENTER DR, SUITE# 352
LA MESA, CA 91942
San Diego County (619) 466-0048
NANCY LYNN NELSON P.T.
Physical Therapist
5565 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (619) 589-0850
PETER F JOHNSON DMD A PROFESSIONAL CORPORATION
Dentist (Prosthodontics)
5565 GROSSMONT CENTER DR, SUITE 110-1
LA MESA, CA 91942
San Diego County (619) 463-3737
MOHAMMED MIRADI MD INC
Internal Medicine (Infectious Disease)
5565 GROSSMONT CENTER DR, STE 211
LA MESA, CA 91942
San Diego County (619) 644-1483
DR. KAREN E. ANDERSON, APC
Podiatrist (Foot Surgery)
5565 GROSSMONT CENTER DR, SUITE 152
LA MESA, CA 91942
San Diego County (619) 440-2202
KYLE W. SEELEY, DO APC
Family Medicine
5565 GROSSMONT CENTER DR, #1-210
LA MESA, CA 91942
San Diego County (619) 460-6103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Waddell's NPI number?

The NPI number for Thomas Waddell is 1043304322. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Thomas Waddell located?

Thomas Waddell practices at 5565 Grossmont Center Dr Suite 356, La Mesa, CA 91942. The listed phone number is (619) 461-1900.

What is Thomas Waddell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Thomas Waddell enrolled in Medicare?

Yes. Thomas Waddell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Waddell was last updated on January 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.