Active NPI
Charles M Thorn, ARRT (RT) (CT)
- Diagnostic Radiology Physician
- Deatsville, AL
National Provider Identifier
1871190256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 566387
- Practice address
- 204 Debbie Dr
Deatsville, AL 36022-2567 - Phone
- (334) 669-4641
- NPI assigned
- Oct 8, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 566387 | AL | Primary |
Addresses
Primary practice location
204 Debbie Dr
Deatsville, AL 36022-2567
Mailing address
204 Debbie Dr
Deatsville, AL 36022-2567
Phone (334) 669-4641
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 |
|---|---|---|---|
| 566387 | AL | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602115200000",
"number": "1871190256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 DEBBIE DR",
"city": "DEATSVILLE",
"state": "AL",
"postal_code": "360222567",
"telephone_number": "334-669-4641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 DEBBIE DR",
"city": "DEATSVILLE",
"state": "AL",
"postal_code": "360222567",
"telephone_number": "334-669-4641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORN",
"first_name": "CHARLES",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "ARRT (RT) (CT)",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-08",
"last_updated": "2020-10-08",
"certification_date": "2020-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AL",
"license": "566387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deatsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.