James Richard Throneberry, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3801 Issued in AL

Practice address

2506 Danville Rd SW
Ste. 104
Decatur, AL 35603-4232

Phone

(256) 353-3462

Fax

(256) 353-6103

NPI assigned

Apr 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477674679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 DANVILLE RD SW",
            "address_2": "STE. 104",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356034232",
            "telephone_number": "256-353-3462",
            "fax_number": "256-353-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 DANVILLE RD SW",
            "address_2": "STE. 104",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356034232",
            "telephone_number": "256-353-3462",
            "fax_number": "256-353-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THRONEBERRY",
        "first_name": "JAMES",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS    ID #",
            "identifier": "96979",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coleman Alan Thompson, LPC
• Jordain Thompson
• Latresha Thompson
• Laura Lee Thompson, MS CCC-SLP
• Heather Thrasher, BS
• Zariah Tiggs
• McKenzie Brook Tillman, RBT
• Koneisha Marie Timmons, LPC
• Timothy a Peck DC PC (Year)
• Timothy P. Weirich, M.D., P.C.

• General Practice Dentistry in Decatur, AL
• Providers in Decatur, AL by specialty
• General Practice Dentistry in Alabama

• 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.

Verify at the official NPI Registry.