Donald Charles Thaler

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30017119 Issued in OH

Practice address

34586 Lakeshore Blvd.
Eastlake, OH 44095

Phone

(440) 946-7878

Fax

(440) 946-7878

NPI assigned

Oct 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Donald Charles Thaler Professional name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DRS. Gross, Malcmacher, Thaler & Associates, LLC

  • General Practice Dentistry
  • Eastlake, OH
  • NPI 1033130380
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609952464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 BRAYTON TRL",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440236300",
            "telephone_number": "440-543-2661",
            "fax_number": "440-543-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34586 LAKESHORE BLVD.",
            "city": "EASTLAKE",
            "state": "OH",
            "postal_code": "44095",
            "telephone_number": "440-946-7878",
            "fax_number": "440-946-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THALER",
        "first_name": "DONALD",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30017119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0546798",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONALD",
            "last_name": "THALER",
            "middle_name": "CHARLES",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sarah Stegmoyer
• Emily Stupica, ED.S.
• June Sweeney
• Sara Marie Taurasi, M.A., CCC-SLP
• Brandon Teske
• Donald J. Tobul
• Jackie Lynn Toth, LPN
• Polly Trieu
• Jamie Vandergriff, RN
• Melissa Marie Weber

• General Practice Dentistry in Eastlake, OH
• Providers in Eastlake, OH by specialty
• General Practice Dentistry in Ohio

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.