Individual provider Active NPI

Louis James Thornley, DDS

  • Dentist
  • Fairbanks, AK
National Provider Identifier
1629214697
Registry record updated Dec 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
301 Issued in AK
Practice address
515 7TH Ave
Suite 230
Fairbanks, AK 99701-4933
Phone
(907) 456-8100
Fax
(907) 456-8101
NPI assigned
Dec 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 301 AK Primary

Addresses

Primary practice location

515 7TH Ave
Suite 230
Fairbanks, AK 99701-4933

Mailing address

515 7TH Ave
Suite 230
Fairbanks, AK 99701-4933
Phone (907) 456-8100

Other identifiers 1

IdentifierTypeStateIssuer
DD97101MedicaidAK

Other names 1

  • Thornley Dental Professional name

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

LicenseStateTypeSpecialty
301AKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Wappett D.M.D. P.C. 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229904000000",
    "number": "1629214697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 7TH AVE",
            "address_2": "SUITE 230",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014933",
            "telephone_number": "907-456-8100",
            "fax_number": "907-456-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 7TH AVE",
            "address_2": "SUITE 230",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014933",
            "telephone_number": "907-456-8100",
            "fax_number": "907-456-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNLEY",
        "first_name": "LOUIS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-22",
        "last_updated": "2008-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD97101",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THORNLEY",
            "last_name": "DENTAL",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; 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.