Active NPI
Jeremy Dwain Thornton, D.C.
- Internist Chiropractor
- Stockton, MO
National Provider Identifier
1366465007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internist Chiropractor
- License
- 6617
- Practice address
- 205 South St.
Stockton, MO 65785-1028 - Phone
- (417) 276-6306
- Fax
- (417) 276-6216
- NPI assigned
- Jul 25, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internist Chiropractor | 111NI0900X | 6617 | MO | Primary |
Addresses
Primary practice location
205 South St.
Stockton, MO 65785-1028
Mailing address
PO Box 1028
205 South St.
Stockton, MO 65785-1028
Phone (417) 276-6306
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 |
|---|---|---|---|
| 6617 | MO | MD | Internist Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thornton Natural Healthcare Centre | Internist | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366465007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1028",
"address_2": "205 SOUTH ST.",
"city": "STOCKTON",
"state": "MO",
"postal_code": "657851028",
"telephone_number": "417-276-6306",
"fax_number": "417-276-6216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 SOUTH ST.",
"city": "STOCKTON",
"state": "MO",
"postal_code": "657851028",
"telephone_number": "417-276-6306",
"fax_number": "417-276-6216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNTON",
"first_name": "JEREMY",
"middle_name": "DWAIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NI0900X",
"taxonomy_group": "",
"desc": "Chiropractor, Internist",
"state": "MO",
"license": "6617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.