John W. Thane, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1997 Issued in AR

Practice address

414 Hazel St
Texarkana, AR 71854-5215

Phone

(870) 772-9681

NPI assigned

Jan 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083771638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 HAZEL ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718545215",
            "telephone_number": "870-772-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 HAZEL ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718545215",
            "telephone_number": "870-772-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANE",
        "first_name": "JOHN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "1997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Texarkana Nutrition Consultants
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• Texarkana Resources for the Disabled, Inc.
• Texarkana SNF Operations LLC
• The Dream Lab (Dream Lab Counseling)
• Mylisa Thiels, M.S., CCC-SLP
• Kaylie Thomas
• Thomason Counseling and Consulting, PLLC
• Tammi Thrash, PTA

• General Practice Dentistry in Texarkana, AR
• Providers in Texarkana, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.