Scott L. Thatcher, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

17036 Issued in OH

Practice address

800 Compton Rd
Suite 20
Cincinnati, OH 45231-3826

Phone

(513) 521-0110

Fax

(513) 728-4093

NPI assigned

Oct 13, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 8, 2016 through Jan 8, 2028

Medicare enrollment (NPD)

Not 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.

• Thatcher & Boudreau, DDS, Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Cincinnati, OH
  • NPI 1467542472
  NPD (past) Authorized official

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699865675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 COMPTON RD",
            "address_2": "SUITE 20",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452313826",
            "telephone_number": "513-521-0110",
            "fax_number": "513-728-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COMPTON RD",
            "address_2": "SUITE 20",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452313826",
            "telephone_number": "513-521-0110",
            "fax_number": "513-728-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THATCHER",
        "first_name": "SCOTT",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "17036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM MEDICAL",
            "identifier": "000000381323",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Thapa
• Erin Lindsey Thase
• Thatcher & Boudreau, DDS, Inc.
• Koree L Thatcher, BCHPT, HPMC
• Paula Marie Thatcher, O.D.
• Dinesh Thawrani, M.D.
• Robert Thaxton
• Zohaib Thayani, DO
• The Accident Center
• The Affinity Center, Inc

• Oral and Maxillofacial Surgery (Dentist) in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Oral and Maxillofacial Surgery (Dentist) 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.