NPIMap

Organization Active NPI

Brian L and Jennifer W Thornton DDS PS

  • General Practice Dentistry
  • Poulsbo, WA
National Provider Identifier
1497764070
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
WA4364 Issued in WA
Legal business name
BRIAN L AND JENNIFER W THORNTON DDS PS
Practice address
19170 8TH Ave NE
Poulsbo, WA 98370-8773
Phone
(360) 779-3633
Fax
(360) 779-6232
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Authorized official

Name
Dr. Jennifer W Thornton, DDSNPI 1700895315
Title
President
Phone
(360) 799-3633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X WA4364 WA Primary

Addresses

Primary practice location

19170 8TH Ave NE
Poulsbo, WA 98370-8773

Mailing address

19170 8TH Ave NE
Poulsbo, WA 98370-8773
Phone (360) 779-3633

Other names 1

  • Poulsbo Dental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brian L and Jennifer W Thornton DDS PS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1497764070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19170 8TH AVE NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708773",
            "telephone_number": "360-779-3633",
            "fax_number": "360-779-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19170 8TH AVE NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708773",
            "telephone_number": "360-779-3633",
            "fax_number": "360-779-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN L AND JENNIFER W THORNTON DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-799-3633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "WA4364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Poulsbo Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.