Active NPI
Thor G Thorson, DDS
- Dentist
- Yuma, AZ
National Provider Identifier
1760645642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D7762
- Practice address
- 7949 E 24TH St
Yuma, AZ 85365-8602 - Phone
- (928) 317-1900
- Fax
- (928) 585-1025
- NPI assigned
- Jul 9, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D7762 | AZ | Primary |
Addresses
Primary practice location
7949 E 24TH St
Yuma, AZ 85365-8602
Mailing address
7949 E 24TH St
Yuma, AZ 85365-8602
Phone (928) 317-1900
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
| License | State | Type | Specialty |
|---|---|---|---|
| D7762 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garner Thorson Dental, PLLC | General Practice | Past | Accepting new patients |
| Gila Family Dental LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524009600000",
"number": "1760645642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7949 E 24TH ST",
"city": "YUMA",
"state": "AZ",
"postal_code": "853658602",
"telephone_number": "928-317-1900",
"fax_number": "928-585-1025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7949 E 24TH ST",
"city": "YUMA",
"state": "AZ",
"postal_code": "853658602",
"telephone_number": "928-317-1900",
"fax_number": "928-585-1025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORSON",
"first_name": "THOR",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-09",
"last_updated": "2018-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D7762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.