Eli J Thornock, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60270622 Issued in WA

Practice address

1050 Gillmore Ave Ste B
Richland, WA 99352-3305

Phone

(509) 946-2258

Fax

(509) 946-1211

NPI assigned

Feb 27, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 21, 2021 through Jan 21, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eli Thornock DDS PLLC

  • Dental Clinic/Center
  • Richland, WA
  • NPI 1700563996
  NPD Authorized official
• Madsen, Maxfield, Karlson, Clements, McManamon, PLLC

  • General Practice Dentistry
  • Kennewick, WA
  • NPI 1811845308
  NPD (past)
• Penttila Schroeder Maxfield,DDS, PS

  • General Practice Dentistry
  • West Richland, WA
  • NPI 1619915394
  NPD (past)

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1356615165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 GILLMORE AVE STE B",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523305",
            "telephone_number": "509-946-2258",
            "fax_number": "509-946-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 GILLMORE AVE STE B",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523305",
            "telephone_number": "509-946-2258",
            "fax_number": "509-946-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNOCK",
        "first_name": "ELI",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-27",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60270622",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60270622",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Thompson
• Rachelle Grace Thompson
• Rashelle Thompson
• Trent P Thompson, OD
• Kailey Marie Thomsen, DDS
• Tiffany Marie Thorson, LICSW
• Three Rivers Family Medicine. PSC
• Three Rivers Psychiatry
• Thrifty Payless Inc
• Thrifty Payless Inc

• General Practice Dentistry in Richland, WA
• Providers in Richland, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.