Dallas Mitchell Thornton, CPHT

Primary specialty

TechnicianTaxonomy code 374700000X

License

VA60898633 Issued in WA

Practice address

4818 Point Fosdick Dr
Gig Harbor, WA 98335-1711

Phone

(253) 851-6939

Fax

(253) 858-3203

NPI assigned

Dec 20, 2022

Last updated

Dec 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: dallas.thornton@riteaid.com

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1346952405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 11TH LN # 288",
            "city": "FOX ISLAND",
            "state": "WA",
            "postal_code": "983339661",
            "telephone_number": "253-549-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4818 POINT FOSDICK DR",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351711",
            "telephone_number": "253-851-6939",
            "fax_number": "253-858-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "DALLAS",
        "middle_name": "MITCHELL",
        "credential": "CPHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "WA",
            "license": "VA60898633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
            "identifier": "VA60898633",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dallas.Thornton@riteaid.com",
            "affiliation": "N",
            "endpointDescription": "Corporate Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMAIL",
            "address_1": "4818 Point Fosdick Dr",
            "city": "Gig Harbor",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983351711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katie Thompson, BSN, RN
• Leah Thompson, COTA/L
• Rosanne J Thompson, ARNP
• Brandi Elizabeth Thomsen, NC.60463036
• Wendy Jo Thorn, DNP ARNP FNP-C
• Ann Marie Tibbetts
• Lisa Carrie Tice, LICSW
• Tigerwolf Electrodiagnostics, PLLC
• Bethany Joy Tilzey, CD(DONA)
• McKenzie Johanna Timmer, N.D.

• Technician in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.