NPIMap

Organization Active NPI

Dr. Leanne P Thatcher DDS LLC

  • Dental Clinic/Center
  • Rock Island, IL
National Provider Identifier
1740599547
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
019.024751 Issued in IL
Legal business name
DR. LEANNE P THATCHER DDS LLC
Practice address
2917 17TH St
Rock Island, IL 61201-5382
Phone
(309) 788-3900
Fax
(309) 788-0971
NPI assigned
Sep 28, 2010
Last updated
Sep 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Authorized official

Name
Dr. Leanne Patricia Thatcher, DDSNPI 1205941549
Title
Owner
Phone
(309) 788-3900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 019.024751 IL Primary

Addresses

Primary practice location

2917 17TH St
Rock Island, IL 61201-5382

Mailing address

2917 17TH St
Rock Island, IL 61201-5382

National Provider Directory

National Provider Directory

Locations

2917 17th St
Rock Island, IL 61201
Phone (309) 788-3900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1740599547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 17TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612015382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 17TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612015382",
            "telephone_number": "309-788-3900",
            "fax_number": "309-788-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LEANNE P THATCHER DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "THATCHER",
        "authorized_official_first_name": "LEANNE",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-788-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019.024751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Island, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.