DR. ROBERT A THACKER (NPI# 1477652204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477652204 |
| Entity Type | Individual |
| Full Name | DR. ROBERT A THACKER |
| Credential | DMD |
| Practice Address |
1436 Beauty Circle Birmingham AL 35214-3008 |
| Practice Telephone | 2057986095 |
| Practice Fax Number | 2057986098 |
| Mailing Telephone | 2057986095 |
| Mailing Fax Number | 2057986098 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
2978 | AL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902022320 | Robert E Thacker Jr. | Counselor | 223 S. Walnut Ave., Ames, IA 50010 | 2007-04-17 |
| 1306926621 | Robert K Thacker | Family Medicine | 603a Dolley Madison Rd, Greensboro, NC 27410-4205 | 2006-10-17 |
| 1124309224 | Robert Slade Thacker | Nurse Practitioner | 1906 Fairview Ave, Ste. 230, Caldwell, ID 83605-5407 | 2011-09-01 |
| 1003874991 | Robert Mitchell Thacker | Optometrist | 1466 Broad St, Providence, RI 02905-2836 | 2006-05-02 |
| 1881680973 | Robert E. Thacker | Internal Medicine | 620 10th Street N., St Petersburg, FL 33705-1407 | 2005-09-23 |
| Street Address |
1436 BEAUTY CIRCLE |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35214-3008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194238881 | French Town Residential LLC | Clinic/Center | 1000 Avenue W., Birmingham, AL 35214 | 2017-11-16 |
| 1053832089 | Medhelp Shelby, LLC | Family Medicine | 3143 Pelham Parkway, Birmingham, AL 35214 | 2017-06-29 |
| 1124241294 | Cheri W. Cunningham | Dentist | 2129 Forestdale Blvd, Birmingham, AL 35214 | 2007-04-10 |
| 1831258219 | Brewis Pharmacy Inc | Pharmacy | 1548 Forestdale Blvd, Birmingham, AL 35214 | 2006-12-08 |
| 1114032307 | Bruno's Supermarket's, LLC. | Durable Medical Equipment & Medical Supplies | 1940 Forestdale Blvd, Forestdale, AL 35214 | 2006-08-20 |
| 1770552077 | Larry Wayne Taylor | Family Medicine | 6554 Aaron Dr, Fairfield, AL 35214 | 2006-03-17 |
| 1518934140 | Carey Wayne Ketchum | Internal Medicine | 1664 Forestdale Blvd, American Family Care Inc Forestdale Clinic, Forestdale, AL 35214 | 2006-03-02 |
| 1144609991 | Mary Irby | Speech-Language Pathologist | 245 Cahaba Valley Parkway, Birmingham, AL 35214 | 2015-05-27 |
| 1023320769 | Karol Medina Poczatek | Dentist | 2685 Pelham Pkwy, Suite B, Birmingham, AL 35214 | 2010-07-10 |
| 1265623888 | William Brandon Myers | Pharmacist | 1548 Forestdale Blvd, Birmingham, AL 35214 | 2007-08-08 |
| Find all providers in zip 35214 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573825 | William Bates | Dentist | 2826 Lakeshore Pkwy, Birmingham, AL 35211-5500 | 2020-06-22 |
| 1144873332 | James M Fraser II | Dentist | 2388 Cole St Ste 103, Birmingham, MI 48009-7009 | 2019-07-17 |
| 1619407657 | Priscila Arruda Denny | Dentist | 2029 Old Montgomery Hwy, Birmingham, AL 35244-1606 | 2017-06-13 |
| 1538549241 | Paige Dianna Whitt | Dentist | 406 Hollywood Blvd, Birmingham, AL 35209-2021 | 2015-06-08 |
| 1073908364 | Jamie Youngshin Kim | Dentist | 1919 7th Avenue South, Sdb 305, University of Alabama School of Dentistry, Birmingham, AL 35294 | 2015-04-02 |
| 1154688794 | Careybeth Hayes Rivers | Dentist | 4369 Ruth Rd, Birmingham, AL 35213-1609 | 2012-04-20 |
| 1336467406 | Nathan Warren Johnson | Dentist | 1451 River Walk Cir, Birmingham, AL 35216-6811 | 2010-05-13 |
| 1700021854 | Michael Brett Wood | Dentist | 5143 6th Ave S, Birmingham, AL 35212-3519 | 2008-12-03 |
| 1134301559 | Jon C. Moore | Dentist | 5100 Cyrus Cir, Birmingham, AL 35242-4630 | 2007-11-27 |
| 1093996332 | David M Sarver | Dentist | 1705 Vestavia Pkwy, Birmingham, AL 35216-3752 | 2007-11-15 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35214 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.