Organization Active NPI

Jacobs and Thatcher Dentistry, PLLC

  • General Practice Dentistry
  • Sun City Center, FL
National Provider Identifier
1407244189
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JACOBS AND THATCHER DENTISTRY, PLLC
Practice address
1601 Rickenbacker Dr
Suite #7
Sun City Center, FL 33573-5332
Phone
(813) 634-1932
Fax
(813) 634-8612
NPI assigned
Jan 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

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

Authorized official

Name
Dr. Bryan R. Thatcher, D.M.D.
Title
Managing Member
Phone
(813) 634-1932

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X

Addresses

Primary practice location

1601 Rickenbacker Dr
Suite #7
Sun City Center, FL 33573-5332

Mailing address

1601 Rickenbacker Dr
Suite #7
Sun City Center, FL 33573-5332
Phone (813) 634-1932

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1407244189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 RICKENBACKER DR",
            "address_2": "SUITE #7",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735332",
            "telephone_number": "813-634-1932",
            "fax_number": "813-634-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 RICKENBACKER DR",
            "address_2": "SUITE #7",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735332",
            "telephone_number": "813-634-1932",
            "fax_number": "813-634-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBS AND THATCHER DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-02",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "THATCHER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "813-634-1932",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City Center, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.

Verify at the official NPI Registry.