Active NPI
Dianna Frances Thorstensen, DDS
- Dentist
- Greenbelt, MD
National Provider Identifier
1568697076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14473
- Practice address
- 28 Ridge Rd
Greenbelt, MD 20770-0717 - Phone
- (301) 474-4144
- Fax
- (301) 474-6231
- NPI assigned
- May 28, 2009
- Last updated
- May 16, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 14473 | MD | Primary |
Addresses
Primary practice location
28 Ridge Rd
Greenbelt, MD 20770-0717
Mailing address
6125 Edward Hill Rd
Ellicott City, MD 21043-7197
Phone (301) 385-5689
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14473 | MD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McCarl Dental Group P.C. | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Greenbelt, MD
- NPI 1780892216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368662400000",
"number": "1568697076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6125 EDWARD HILL RD",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210437197",
"telephone_number": "301-385-5689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 RIDGE RD",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207700717",
"telephone_number": "301-474-4144",
"fax_number": "301-474-6231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORSTENSEN",
"first_name": "DIANNA",
"middle_name": "FRANCES",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-28",
"last_updated": "2013-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "14473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenbelt, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.