Lakeisha Nicole Thicklin, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.24828 Issued in OH

Practice address

3867 Northampton Rd
Cleveland Heights, OH 44121-2067

Phone

(216) 583-5061

NPI assigned

Jun 26, 2015

Last updated

Jun 21, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lakeisha Norris Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1053793950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3867 NORTHAMPTON RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441212067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3867 NORTHAMPTON RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441212067",
            "telephone_number": "216-583-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THICKLIN",
        "first_name": "LAKEISHA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.24828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAKEISHA",
            "last_name": "NORRIS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Shaquay Thomas

• General Practice Dentistry in Cleveland Heights, OH
• Providers in Cleveland Heights, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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.