Active NPI
Joshua Thorne, DDS
- General Practice Dentistry
- Oakdale, PA
National Provider Identifier
1124604038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS043433
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DS043433 | PA | MD | General Practice Dentistry |
| 4518 | WV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Federally Qualified Health Center (FQHC)
- Parsons, WV
- NPI 1497853600
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.