Lindsay A Thorn, MS, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401416594 Issued in VA

Practice address

1113 Piedmont St SE
Roanoke, VA 24014-1223

Phone

(540) 904-4020

Fax

(540) 903-4030

NPI assigned

May 2, 2019

Last updated

Nov 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lindsay A Maxwell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lat Dentistry, PLLC

  • General Practice Dentistry
  • Roanoke, VA
  • NPI 1659289288
  NPD (past) Authorized official
• Andrew W Henritze DDS PLLC

  dba Henritze dental Group

  • General Practice Dentistry
  • Roanoke, VA
  • NPI 1710478110
  NPD (past)
• Brian S.

  • Dental Clinic/Center
  • Rocky Mount, VA
  • NPI 1013382282
  NPD (past)

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1053976316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 PIEDMONT ST SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141223",
            "telephone_number": "540-904-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 PIEDMONT ST SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141223",
            "telephone_number": "540-904-4020",
            "fax_number": "540-903-4030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 S Main St Ste 109",
            "address_purpose": "LOCATION",
            "city": "Blacksburg",
            "state": "VA",
            "postal_code": "240604978",
            "country_code": "US",
            "telephone_number": "540-951-8383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORN",
        "first_name": "LINDSAY",
        "middle_name": "A",
        "credential": "MS, DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2021-11-19",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "MAXWELL",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Taylor Jo Thompson, LCSW
• Tigerlilly Thompson
• Tishambay Denise Thompson, NP
• William McKinley Thompson, MD
• Mounica Reddy Thootkur, M.D.
• Megan Thorn
• Alexis Thorne
• Kayla Thorne, CCC-SLP
• Kristene Marie Thorne, LPC
• Courtney Lynn Thorpe, MD

• General Practice Dentistry in Roanoke, VA
• Providers in Roanoke, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.