Organization Active NPI

Jennifer R Thorne PA

Doing business as Liberty Family Dentistry

  • Dental Clinic/Center
  • Colleyville, TX
National Provider Identifier
1952878357
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JENNIFER R THORNE PA
Doing business as
Liberty Family Dentistry
Practice address
8300 Precinct Line Rd Ste 100
Colleyville, TX 76034-8242
Phone
(817) 281-4300
NPI assigned
Oct 24, 2018
Last updated
Oct 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Authorized official

Name
Jennifer R Thorne, DDSNPI 1023149374
Title
Owner
Phone
(817) 281-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

8300 Precinct Line Rd Ste 100
Colleyville, TX 76034-8242

Mailing address

8300 Precinct Line Rd Ste 100
Colleyville, TX 76034-8242
Phone (817) 281-4300

Other identifiers 1

IdentifierTypeStateIssuer
1023149374MedicaidTX

Other names 1

  • Liberty Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

8300 Precinct Line Rd
Ste 100
Colleyville, TX 76034
Phone (817) 281-4300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1952878357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 PRECINCT LINE RD STE 100",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760348242",
            "telephone_number": "817-281-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 PRECINCT LINE RD STE 100",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760348242",
            "telephone_number": "817-281-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER R THORNE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "THORNE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-281-4300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023149374",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.