Individual provider Active NPI

Joshua Thorne, DDS

  • General Practice Dentistry
  • Oakdale, PA
National Provider Identifier
1124604038
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS043433 Issued in PA
Practice address
1050 Oakdale Rd
Oakdale, PA 15071-1521
Phone
(141) 278-8630
Fax
(304) 293-3674
NPI assigned
Mar 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS043433 PA Primary
General Practice Dentistry 1223G0001X 4518 WV

Addresses

Primary practice location

1050 Oakdale Rd
Oakdale, PA 15071-1521

Mailing address

123 Donna Ave
Morgantown, WV 26505-2884
Phone (304) 703-0920

Other practice location 1

65 Crestview Dr
Hambleton, WV 26269
Phone (344) 478-6000

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

LicenseStateTypeSpecialty
DS043433PAMDGeneral Practice Dentistry
4518WVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
St. George Medical Clinic Inc. 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.

NPI Registry JSON

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1124604038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 DONNA AVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052884",
            "telephone_number": "304-703-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 OAKDALE RD",
            "city": "OAKDALE",
            "state": "PA",
            "postal_code": "150711521",
            "telephone_number": "141-278-8630",
            "fax_number": "304-293-3674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Crestview Dr",
            "address_purpose": "LOCATION",
            "city": "Hambleton",
            "state": "WV",
            "postal_code": "26269",
            "country_code": "US",
            "telephone_number": "344-478-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORNE",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-22",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS043433",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "4518",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.