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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CRAIG JAMES THATCHER
NPI 1013984541
Oral & Maxillofacial Surgery in Moline, IL

Active since March 03, 2006PECOS Enrolled
930 16TH AVE, MOLINE, IL 61265(309) 797-1720(309) 797-1720 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 13, 2026, Sep 24, 2020 (2 updates tracked since 2020).

About Craig James Thatcher NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRAIG JAMES THATCHER (NPI 1013984541) is an individual oral & maxillofacial surgery provider in Moline, Illinois, licensed in Illinois (19024622) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013984541
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameCRAIG JAMES THATCHER
Location Address930 16TH AVEMoline, IL 61265
Mailing Address930 16th AveMoline, IL 61265 · (309) 797-1770 · Fax (309) 797-1791
Phone(309) 797-1720
Fax(309) 797-1720
Sole ProprietorNo
Enumeration DateMarch 3, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2020
✔ NPI 1013984541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in IL · 19024622
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
930 16TH AVE, Moline, IL 61265
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Craig James Thatcher is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RIVER VALLEY ORAL AND MAXILLOFACIAL SURGERY CLINIC LTD
Dentist (Oral and Maxillofacial Surgery)
930 16TH AVE
MOLINE, IL 61265
Rock Island County (309) 797-1770
CARLETON SCOTT HLADY DDS
Dentist (Oral and Maxillofacial Surgery)
930 16TH AVE
MOLINE, IL 61265
Rock Island County (309) 797-1770
BRADLEY J LUTCHKA
Dentist (Oral and Maxillofacial Surgery)
930 16TH AVE
MOLINE, IL 61265
Rock Island County (309) 797-1770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Craig Thatcher's NPI number?

The NPI number for Craig Thatcher is 1013984541. It was assigned to this individual provider in the NPPES registry on March 3, 2006.

Where is Craig Thatcher located?

Craig Thatcher practices at 930 16th Ave, Moline, IL 61265. The listed phone number is (309) 797-1720.

What is Craig Thatcher's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Craig Thatcher enrolled in Medicare?

Yes. Craig Thatcher is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Craig Thatcher was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.