Individual provider Active NPI

James K Thornton, DMD

  • Dentist
  • Myrtle Beach, SC
National Provider Identifier
1982726667
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3835 Issued in SC
Practice address
1267 38TH Ave N Unit 219
Myrtle Beach, SC 29577-1313
Phone
(843) 448-3810
NPI assigned
Apr 4, 2007
Last updated
Dec 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3835 SC Primary

Addresses

Primary practice location

1267 38TH Ave N Unit 219
Myrtle Beach, SC 29577-1313

Mailing address

1267 38TH Ave N Unit 219
Myrtle Beach, SC 29577-1313
Phone (843) 448-3810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160128002235 SC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2769795657

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3835SCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1982726667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 38TH AVE N UNIT 219",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295771313",
            "telephone_number": "843-448-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1267 38TH AVE N UNIT 219",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295771313",
            "telephone_number": "843-448-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "JAMES",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "3835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.