Individual provider Active NPI

J Douglas Thran, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Clarks Summit, PA
National Provider Identifier
1740382464
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DS024552-L Issued in PA
Practice address
203 Oakford Rd
Clarks Summit, PA 18411-9244
Phone
(570) 586-5003
Fax
(570) 585-7935
NPI assigned
Sep 2, 2006
Last updated
May 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DS024552-L PA Primary

Addresses

Primary practice location

203 Oakford Rd
Clarks Summit, PA 18411-9244

Mailing address

203 Oakford Rd
Clarks Summit, PA 18411-9244
Phone (570) 586-5003

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
DS024552-LPAMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1740382464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 OAKFORD RD",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184119244",
            "telephone_number": "570-586-5003",
            "fax_number": "570-585-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 OAKFORD RD",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184119244",
            "telephone_number": "570-586-5003",
            "fax_number": "570-585-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THRAN",
        "first_name": "J",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS024552-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarks Summit, PA

Sources for this page

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

Verify at the official NPI Registry.