Active NPI
Terry Thomas Thatcher, D.C.
- Chiropractor
- Fremont, OH
National Provider Identifier
1497885701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 496
- Practice address
- 1710 Croghan St
Fremont, OH 43420-2759 - Phone
- (419) 332-6351
- Fax
- (419) 332-6351
- NPI assigned
- Mar 6, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 496 | OH | Primary |
Addresses
Primary practice location
1710 Croghan St
Fremont, OH 43420-2759
Mailing address
1710 Croghan St
Fremont, OH 43420-2759
Phone (419) 332-6351
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000127369 | Other | OH | ANTHEM BLUE CROSS |
| 341105462 | Other | OH | TAXPAYER ID NUMBER |
| 341105462-003 | Other | OH | MEDICAL MUTUAL OF OHIO |
| ANTHEM BLUE CROSS | Other | OH | ANTHEM BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 496 | OH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497885701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 CROGHAN ST",
"city": "FREMONT",
"state": "OH",
"postal_code": "434202759",
"telephone_number": "419-332-6351",
"fax_number": "419-332-6351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 CROGHAN ST",
"city": "FREMONT",
"state": "OH",
"postal_code": "434202759",
"telephone_number": "419-332-6351",
"fax_number": "419-332-6351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THATCHER",
"first_name": "TERRY",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "496",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "000000127369",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXPAYER ID NUMBER",
"identifier": "341105462",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL OF OHIO",
"identifier": "341105462-003",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "ANTHEM BLUE CROSS",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fremont, OH
- Shawn Taylor
- Karlee Tenore
- Justin Michael Tester
- Melissa Ann Tester, LSW, LICDC-CS
- Georgia Carol Thatcher, SC
- The Center for Mental Health and Well-Being at Memorial Hospital
- The Center for Women's Health
- The Kroger Co (Kroger Pharmacy #01600536)
- The Woodlands of Fremont LLC
- Therapeutic Massage Solutions, LLC
Sources for this page
- 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.