Organization Active NPI

John M Thorne Professional Dental Corporation

  • General Practice Dentistry
  • Corona, CA
National Provider Identifier
1841497385
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43868 Issued in CA
Legal business name
JOHN M THORNE PROFESSIONAL DENTAL CORPORATION
Practice address
2150 California Avenue
Suite 107
Corona, CA 92881
Phone
(805) 667-2094
Fax
(805) 667-2096
NPI assigned
Jun 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael J Thorne, DDS
Title
Owner
Phone
(805) 667-2094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 43868 CA Primary

Addresses

Primary practice location

2150 California Avenue
Suite 107
Corona, CA 92881

Mailing address

2150 California Avenue
Suite 107
Corona, CA 92881
Phone (805) 667-2094

Other names 1

  • Orchard Dental Group Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841497385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 CALIFORNIA AVENUE",
            "address_2": "SUITE 107",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92881",
            "telephone_number": "805-667-2094",
            "fax_number": "805-667-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 CALIFORNIA AVENUE",
            "address_2": "SUITE 107",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92881",
            "telephone_number": "805-667-2094",
            "fax_number": "805-667-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M THORNE PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THORNE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-667-2094",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orchard Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.