Organization Active NPI

David C. Thorrez, MD

  • Pediatrics Physician
  • Ypsilanti, MI
National Provider Identifier
1457536468
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301035414 Issued in MI
Legal business name
DAVID C. THORREZ, MD
Practice address
2900 Packard Rd
Ste 1
Ypsilanti, MI 48197-2060
Phone
(734) 572-8686
Fax
(734) 572-8866
NPI assigned
Jan 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Kathleen M McCarren
Title
Office Manager
Phone
(734) 572-8686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 4301035414 MI Primary

Addresses

Primary practice location

2900 Packard Rd
Ste 1
Ypsilanti, MI 48197-2060

Mailing address

2900 Packard Rd
Ste 1
Ypsilanti, MI 48197-2060
Phone (734) 572-8686

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": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1457536468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 PACKARD RD",
            "address_2": "STE 1",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972060",
            "telephone_number": "734-572-8686",
            "fax_number": "734-572-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 PACKARD RD",
            "address_2": "STE 1",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972060",
            "telephone_number": "734-572-8686",
            "fax_number": "734-572-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID C. THORREZ, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "MCCARREN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "734-572-8686"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301035414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.