NPIMap

Organization Active NPI

Todd a Thayer DDS Ms PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • St Paul, MN
National Provider Identifier
1407923733
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
MN10589 Issued in MN
Legal business name
TODD A THAYER DDS MS PA
Practice address
1050 Larpeuteur Avenue West
St Paul, MN 55113-6556
Phone
(651) 488-5622
Fax
(651) 489-2856
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Todd Anthony Thayer, DDS
Title
President Orthodontist
Phone
(651) 488-5622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X MN10589 MN Primary

Addresses

Primary practice location

1050 Larpeuteur Avenue West
St Paul, MN 55113-6556

Mailing address

1050 Larpeuteur Avenue West
St Paul, MN 55113-6556
Phone (651) 488-5622

Other names 1

  • Thayer Orthodontics Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407923733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 LARPEUTEUR AVENUE WEST",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551136556",
            "telephone_number": "651-488-5622",
            "fax_number": "651-489-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 LARPEUTEUR AVENUE WEST",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551136556",
            "telephone_number": "651-488-5622",
            "fax_number": "651-489-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD A THAYER DDS MS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THAYER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT ORTHODONTIST",
        "authorized_official_telephone_number": "651-488-5622",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "MN10589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thayer Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.