Active NPI
Charles Matthew Thorne, D.D.S.
- Dentist
- North Richland Hills, TX
National Provider Identifier
1841411196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22031
- Practice address
- 6248 Davis Blvd.
Suite 100
North Richland Hills, TX 76180 - Phone
- (817) 503-8000
- Fax
- (817) 503-8004
- NPI assigned
- May 2, 2007
- 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 | 22031 | TX | Primary |
Addresses
Primary practice location
6248 Davis Blvd.
Suite 100
North Richland Hills, TX 76180
Mailing address
6248 Davis Blvd.
Suite 100
North Richland Hills, TX 76180
Phone (817) 503-8000
Other practice location 1
4541 Heritage Trace Pkwy Ste 1301
Fort Worth, TX 76244-8950
Phone (817) 203-1561
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 |
|---|---|---|---|
| 22031 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Thorne PA | 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.
-
dba Thorne Family Dentistry
- General Practice Dentistry
- North Richland Hills, TX
- NPI 1275727901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1841411196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6248 DAVIS BLVD.",
"address_2": "SUITE 100",
"city": "NORTH RICHLAND HILLS",
"state": "TX",
"postal_code": "76180",
"telephone_number": "817-503-8000",
"fax_number": "817-503-8004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6248 DAVIS BLVD.",
"address_2": "SUITE 100",
"city": "NORTH RICHLAND HILLS",
"state": "TX",
"postal_code": "76180",
"telephone_number": "817-503-8000",
"fax_number": "817-503-8004"
}
],
"practiceLocations": [
{
"address_1": "4541 Heritage Trace Pkwy Ste 1301",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "762448950",
"country_code": "US",
"telephone_number": "817-203-1561",
"fax_number": "817-953-6340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THORNE",
"first_name": "CHARLES",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "22031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Richland Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.