Katrina Anne Thatch, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401416005 Issued in VA

Practice address

3610 Boulevard Ste a
Colonial Heights, VA 23834-1329

Phone

(804) 526-0937

NPI assigned

Jul 5, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Morrison Dental Group Midlothian PLLC

  • Dental Clinic/Center
  • Midlothian, VA
  • NPI 1043936214
  NPD (past)
• Richard W Bates DDS

  • General Practice Dentistry
  • Colonial Heights, VA
  • NPI 1437601895
  NPD (past)
• Richard W. Bates DDS

  • General Practice Dentistry
  • Colonial Heights, VA
  • NPI 1851583116
  NPD (past)

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1992226484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 MILLCREST TER",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124397",
            "telephone_number": "704-315-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 BOULEVARD STE A",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341329",
            "telephone_number": "804-526-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THATCH",
        "first_name": "KATRINA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0442000296",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401416005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keyosha Takia Taylor, PMHNP
• Samantha N Taylor, NP-C
• Temple Ave Pharmacy
• Temple Ave Pharmacy
• Alison Deloris Terry
• The Independent Capacity System, Inc.
• The Restora Psychiatry LLC
• Thomas G. Schleicher
• Jacquelyn Renee Thomas, MAC, ICAADC
• Robin Ross Throckmorton, LCSW

• Dentist in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.