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DR. THOMAS RAYMOND FARRELL IV
NPI 1417368911
Dentist in Jacksonville, FL

Active since May 19, 2014Opted out of Medicare · through Jul 31, 2027
800 DUNN AVE, JACKSONVILLE, FL 32218(904) 240-1941 Get Directions Write a Review

NPPES record last updated: July 29, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Thomas Raymond Farrell Iv NPPES

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

DR. THOMAS RAYMOND FARRELL IV (NPI 1417368911) is an individual dentist in Jacksonville, Florida, licensed in Florida (21367) and active in the NPI registry since May 2014. He has opted out of Medicare through July 31, 2027.

NPPES Registry Identity

NPI1417368911
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. THOMAS RAYMOND FARRELL IV
Location Address800 DUNN AVEJacksonville, FL 32218-4803
Mailing Address800 Dunn AveJacksonville, FL 32218-4803
Phone(904) 240-1941
Sole ProprietorYes
Enumeration DateMay 19, 2014
Last NPPES UpdateJuly 29, 2015
✔ NPI 1417368911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · 21367
Definition
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.
800 DUNN AVE, Jacksonville, FL 32218
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Thomas Raymond Farrell Iv has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 31, 2023 through July 31, 2027.

Opt-Out Effective DateJuly 31, 2023
Opt-Out In Effect ThroughJuly 31, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

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

SHAUN BULLARD D.M.D
Dentist
800 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 751-0679
AFFORDABLE DENTURES & IMPLANTS - FLORIDA, PLLC
Dentist
800 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 240-1941
AFFORDABLE DENTURES & IMPLANTS- NORTH JACKSONVILLE II, P.A.
Dentist
800 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 240-1941
AFFORDABLE DENTURES & IMPLANTS- NORTH JACKSONVILLE, P.A.
Dentist
800 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (800) 336-8873
AFFORDABLE DENTURES & IMPLANTS - NORTH JACKSONVILLE III, P.A.
Dentist (General Practice)
800 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 240-1941
DR. MEAD LYONS DMD
Dentist (General Practice)
800 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 800-5167
ALAN TODD WAKEFIELD D.D.S.
Dentist (General Practice)
800 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 240-1941
AFFORDABLE DENTURES & IMPLANTS - NORTH JACKSONVILLE IV, P.A.
Dentist (General Practice)
800 DUNN AVE
JACKSONVILLE, FL 32218
Duval County (904) 240-1941

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 Farrell's NPI number?

The NPI number for Thomas Farrell is 1417368911. It was assigned to this individual provider in the NPPES registry on May 19, 2014.

Where is Thomas Farrell located?

Thomas Farrell practices at 800 Dunn Ave, Jacksonville, FL 32218. The listed phone number is (904) 240-1941.

What is Thomas Farrell's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Thomas Farrell enrolled in Medicare?

No. Thomas Farrell has opted out of Medicare through July 31, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Thomas Farrell accept?

Health plans from Ambetter Health, Ambetter of Alabama, BEST Life, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 12 other insurers list Thomas Farrell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Farrell was last updated on July 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.