Active NPI
James N Thacker, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Cincinnati, OH
National Provider Identifier
1225100472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 17140
- Practice address
- 1057 Nimitzview Dr
Cincinnati, OH 45230-4359 - Phone
- (513) 232-1600
- Fax
- (513) 232-2389
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 17140 | OH | Primary |
| Dentist | 122300000X | 9149 | KY |
Addresses
Primary practice location
1057 Nimitzview Dr
Cincinnati, OH 45230-4359
Mailing address
1057 Nimitzview Dr
Cincinnati, OH 45230-4359
Phone (513) 232-1600
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9149 | KY | MD | Dentist |
| 17140 | OH | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421712000000",
"number": "1225100472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1057 NIMITZVIEW DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452304359",
"telephone_number": "513-232-1600",
"fax_number": "513-232-2389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1057 NIMITZVIEW DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452304359",
"telephone_number": "513-232-1600",
"fax_number": "513-232-2389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THACKER",
"first_name": "JAMES",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2015-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "OH",
"license": "17140",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "9149",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.