Dave H. Thacker, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

340105-1205 Issued in UT

Practice address

7321 11TH St
75 MDG/Sgopc
Hill AFB, UT 84056-5012

Phone

(801) 777-6804

Fax

(801) 586-4018

NPI assigned

Jan 12, 2006

Sex

Male

Sole proprietor

No

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194704767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5144 VILLAGE WOOD CT",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841204585",
            "telephone_number": "801-982-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7321 11TH ST",
            "address_2": "75 MDG/SGOPC",
            "city": "HILL AFB",
            "state": "UT",
            "postal_code": "840565012",
            "telephone_number": "801-777-6804",
            "fax_number": "801-586-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THACKER",
        "first_name": "DAVE",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "340105-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanine Gail Stettler, PNP
• Nathan Stevenson, DNP, FNP-C, WHNP-BC
• Jason Charles Stillman, PHARMD
• Dane J Tackitt, IDMT
• Neal Robert Taylor, MD
• The Janz Corporation (Janz Medical Supply)
• Erin Sutphen Thompson, PHARM. D.
• Jessica Lynn Townsend, ATC
• Gregory Turnbow, LCSW
• Lars Ulissey

• Pediatrics Physician in Hill AFB, UT
• Providers in Hill AFB, UT by specialty
• Pediatrics Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.