Richard Dana Thayer, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

036920 Issued in NY

Practice address

435 New Karner Rd
Albany, NY 12205-3833

Phone

(518) 456-1622

NPI assigned

Oct 30, 2005

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

Enrolled in NY

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.

• Northeast Psychological Associates PLLC

  • Psychologist
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  • NPI 1447817093
  NPD (past)

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

{
    "created_epoch": "1130630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200873600000",
    "number": "1629069729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 NEW KARNER RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122053833",
            "telephone_number": "518-456-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 NEW KARNER RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122053833",
            "telephone_number": "518-456-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAYER",
        "first_name": "RICHARD",
        "middle_name": "DANA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-30",
        "last_updated": "2008-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "036920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00736801",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Priyata Thapa, PSYD
• Mini Santhosh Tharian
• Florence Elizabeth Tharman, AU.D
• Areeba Tharwani
• Alexis Marie Thayer, PHARMD
• Sarah S Thayil, M.D.
• The Addictions Care Center of Albany, Inc
• The Alternative Living Group, Inc.
• The Bodyworks Wellness Center Inc
• The Cataract Vision Institute LLC

• General Practice Dentistry in Albany, NY
• Providers in Albany, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; 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.