Michaela Rae Thorne, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12869 Issued in NC

Practice address

3729 Westridge Circle Dr
Rocky Mount, NC 27804-3335

Phone

(252) 937-7337

Fax

(252) 937-7232

NPI assigned

Jul 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Doris K. Thorne, DDS, PA

  • General Practice Dentistry
  • Rocky Mount, NC
  • NPI 1215790803
  NPD

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1942934351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8467",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278041467",
            "telephone_number": "252-937-7337",
            "fax_number": "252-937-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3729 WESTRIDGE CIRCLE DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043335",
            "telephone_number": "252-937-7337",
            "fax_number": "252-937-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNE",
        "first_name": "MICHAELA",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dkthornedds@suddenlink.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3729 Westridge Circle Dr",
            "city": "Rocky Mount",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278043335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jason Thomas, PA-C
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• Doris K Thorne, DDS
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• TJR Obs LLC
• Today Tomorrow & Forever

• General Practice Dentistry in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.