Active NPI
Roland Conrad Thaler, D.D.S
- General Practice Dentistry
- Gainesville, FL
National Provider Identifier
1124152798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN 3441
- Practice address
- 3500 W University Ave
Gainesville, FL 32607-2405 - Phone
- (352) 378-2233
- Fax
- (352) 375-7507
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN 3441 | FL | Primary |
Addresses
Primary practice location
3500 W University Ave
Gainesville, FL 32607-2405
Mailing address
3500 W University Ave
Gainesville, FL 32607-2405
Phone (352) 378-2233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84441 | Other | FL | BCBS OF FL PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 3441 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thaler and Townsend, P.a. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Gainesville, FL
- NPI 1376700302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124152798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 W UNIVERSITY AVE",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326072405",
"telephone_number": "352-378-2233",
"fax_number": "352-375-7507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 W UNIVERSITY AVE",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326072405",
"telephone_number": "352-378-2233",
"fax_number": "352-375-7507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THALER",
"first_name": "ROLAND",
"middle_name": "CONRAD",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN 3441",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL PROVIDER #",
"identifier": "84441",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- 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.