DAVID DEAN THORNTON MD
NPI 1821052424
Radiology - Diagnostic Radiology in Hoover, AL

Q: What is David Thornton's NPI number?

The NPI number for David Thornton is 1821052424. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Q: What is David Thornton's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for David Thornton was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since April 12, 2006PECOS EnrolledAccepts Medicare Assignment

4517 SOUTHLAKE PKWY, HOOVER, AL 35244(205) 985-4111(205) 985-4326 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 6, 2023, Jun 3, 2019, Jun 11, 2018 (3 updates tracked since 2018).

On this page

About David Dean Thornton Md NPPES

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

DAVID DEAN THORNTON MD (NPI 1821052424) is an individual diagnostic radiology provider in Hoover, Alabama, licensed in Alabama (20215) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (1995).

NPPES Registry Identity

NPI1821052424

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameDAVID DEAN THORNTONCredential: MD

Location Address4517 SOUTHLAKE PKWYHoover, AL 35244-3280

Mailing Address4517 Southlake PkwyHoover, AL 35244-3280 · (205) 985-4111 · Fax (205) 985-4326

Phone(205) 985-4111

Fax(205) 985-4326

Sole ProprietorNo

Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1995

Enumeration DateApril 12, 2006

Last NPPES UpdateSeptember 6, 20233 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2023

✔ NPI 1821052424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in AL · 20215

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

4517 SOUTHLAKE PKWY, Hoover, AL 35244

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Other Identifiers 5

Medicaid051556563AL

Medicaid009998935AL

Other51000905AL · Blue Cross Blue Shield

Other51526364AL · Blue Cross/blue Shield

Other51526323AL · Blue Cross/blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Dean Thornton Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486608403

PECOS Enrollment IDI20050311000354, I20190513001073

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.

Medicare Billing Reassignments

Medicare enrollment records show David Thornton reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cahaba Valley Imaging, LLC

5.6 mi

Diagnostic Radiology

201 RACQUET CLUB LANE
Pelham, AL 35124

Reassigned Medicare billing, Alabama enrollment
20 clinicians in this Medicare group

NPI 1215268446 (205) 418-1212

Shades Mountain Imaging PC

6.3 mi

Diagnostic Radiology

502 MONTGOMERY HWY, STE 101
Vestavia Hills, AL 35216

Reassigned Medicare billing, Alabama enrollment
17 clinicians in this Medicare group

NPI 1033157185 (205) 823-0882

St Vincents Ambulatory Healthcare Network LLC

7.7 mi

Physiological Laboratory

7191 CAHABA VALLEY RD STE 104
Birmingham, AL 35242

Reassigned Medicare billing, Alabama enrollment
Also billed through NPI 1033646823 (Alabama)
53 clinicians in this Medicare group

NPI 1588190441 (205) 408-6600

Cooper Green Mercy Health Services Authority An Affiliate Of Uab

10 mi

Clinic/Center

1509 6TH AVE S
Birmingham, AL 35233

Reassigned Medicare billing, Alabama enrollment
203 clinicians in this Medicare group

NPI 1366073108 (205) 930-3200

University Of Alabama Health Services Foundation, PC

10 mi

Pediatrics

1600 7TH AVE S
Birmingham, AL 35233

Reassigned Medicare billing, Alabama enrollment
4,494 clinicians in this Medicare group

NPI 1356377576 (205) 939-9100

Radiology Associates Of Birmingham PC

10 mi

Diagnostic Radiology

810 SAINT VINCENTS DR
Birmingham, AL 35205

Reassigned Medicare billing, Alabama and Georgia enrollments
Medicare enrollment name: Radiology Associates Of Birmingham, P.C.
45 clinicians in this Medicare group

NPI 1093778706 (205) 824-8000

North Jefferson Imaging, LLC

22 mi

Diagnostic Radiology

2217 DECATUR HWY, SUITE 115
Gardendale, AL 35071

Reassigned Medicare billing, Alabama enrollment
20 clinicians in this Medicare group

NPI 1467490920 (205) 418-1280

Advanced Imaging Of Alabama LLC

60 mi

Diagnostic Radiology

1699 GOLDEN SPRINGS RD
Anniston, AL 36207

Reassigned Medicare billing, Alabama enrollment
Medicare enrollment name: Advanced Imaging Of Alabama P C
15 clinicians in this Medicare group

NPI 1629221510 (256) 835-0835

Advanced Imaging Of Gadsden LLC

62 mi

Diagnostic Radiology

820 S 4TH STREET
Gadsden, AL 35901

Reassigned Medicare billing, Alabama enrollment
14 clinicians in this Medicare group

NPI 1972615581 (256) 549-0008

Pro Radiology, LLC

141 mi

Radiology

60 PEACHTREE PARK DR NE
Atlanta, GA 30309

Reassigned Medicare billing, Georgia enrollment
202 clinicians in this Medicare group

NPI 1164966461 (678) 278-8800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 55

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

648 services555 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

115 services115 patients

X-ray of abdomen, 1 view 74018

An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.

100 services86 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

94 services94 patients

Ct scan of leg without contrast 73700

A CT scan of the leg is a non-invasive imaging test that uses X-rays to capture detailed images of your leg's bones, muscles, and blood vessels. It doesn't use contrast dye and doesn't cause any pain. It helps in diagnosing injuries or diseases.

85 services81 patients

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

84 services83 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

76 services76 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

68 services68 patients

X-ray of chest, 2 views 71046

67 services67 patients

Ct scan of blood vessels of chest with contrast 71275

A CT scan of the chest with contrast is a non-invasive imaging test. It uses X-rays and a special dye to get detailed images of your blood vessels in the chest. This helps in diagnosing conditions related to heart and lungs.

64 services64 patients

Complete ultrasound scan behind abdominal cavity 76770

A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.

62 services62 patients

Nuclear medicine study of bone and/or joint whole body 78306

A nuclear medicine study of bone and/or joint whole body involves injecting a small amount of radioactive material into your body. This material travels to your bones and emits energy. A special camera captures this energy, creating images of your bones to help identify any abnormalities.

52 services52 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

46 services45 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

44 services43 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

42 services34 patients

Dxa bone density measurement of hip, pelvis, spine 77080

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

40 services40 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

39 services39 patients

Ct scan of upper spine without contrast 72125

A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.

38 services38 patients

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

35 services32 patients

Ct scan of abdomen and pelvis without contrast 74176

34 services34 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

31 services30 patients

Complete ultrasound scan behind abdominal cavity 76770

30 services30 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

29 services29 patients

Limited ultrasound scan of abdomen 76705

A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.

28 services28 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

27 services27 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

27 services27 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

26 services24 patients

Ct scan of lower spine without contrast 72131

A CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.

24 services24 patients

Mri scan of leg joint without contrast 73721

23 services23 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

22 services22 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

21 services21 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

21 services21 patients

Ct scan of chest without contrast 71250

19 services19 patients

Ct scan of abdomen and pelvis before and after contrast 74178

A CT scan of your abdomen and pelvis with and without contrast helps visualize your internal organs better. Contrast is a special dye that improves the clarity of the images. It's taken orally or injected into your veins before the scan. The process is painless and quick.

18 services18 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

18 services18 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

18 services18 patients

Screening mammography 77067

18 services18 patients

X-ray of shoulder, 1 view 73020

An X-ray of the shoulder, 1 view, is a quick, painless test that produces images of the bones and tissues within your shoulder. It helps diagnose conditions such as fractures, infections, or arthritis. You'll be positioned to capture the best view, then a small dose of radiation creates the image.

17 services17 patients

Mri scan of arm joint without contrast 73221

An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.

17 services17 patients

Screening 3d breast mammography 77063

17 services17 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

17 services17 patients

X-ray of paranasal sinus, 1-2 views 70210

An X-ray of the paranasal sinus is a safe, quick imaging procedure. It uses a small amount of radiation to create images of the sinus cavities in your face. This helps doctors diagnose conditions such as sinusitis or other sinus problems. The 1-2 views mean images from one or two different angles will be taken.

16 services16 patients

X-ray of hip, 1 view 73501

An X-ray of the hip, 1 view, is a quick, painless test where a small amount of radiation is used to produce images of the hip joint. This helps in diagnosing conditions like arthritis or fractures. You'll be positioned so that the X-ray machine can capture the best image of your hip.

16 services16 patients

X-ray of thigh bone, minimum 2 views 73552

An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.

16 services16 patients

Mri scan of pelvis before and after contrast 72197

An MRI scan of the pelvis before and after contrast is a non-invasive imaging technique. It uses magnetic fields and radio waves to capture detailed images of your lower abdomen. Contrast dye, safe for the body, improves image clarity. This helps detect abnormalities more accurately.

15 services15 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

15 services15 patients

X-ray of lower and sacral spine, 2-3 views 72100

13 services13 patients

X-ray of hip, 2-3 views 73502

13 services11 patients

Ct scan of pelvis without contrast 72192

A CT scan of the pelvis without contrast is a non-invasive imaging test. It uses X-rays to create detailed pictures of your lower abdomen area. It helps in detecting issues like injuries, inflammation, or abnormal growths. It doesn't involve any dye injection.

12 services12 patients

Ct scan of abdomen and pelvis before and after contrast 74178

12 services12 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

12 services12 patients

Mri scan of lower spinal canal without contrast 72148

11 services11 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

11 services11 patients

Mri scan of arm joint without contrast 73221

11 services11 patients

Complete ultrasound scan of abdomen 76700

A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35244 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$66.08 typical visit price

range $16.56 – $131.65

Typical copayment $16.52 (range $4.14 – $32.91)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. WILLIAM DOUGLAS SUDDUTH M.D.

Orthopaedic Surgery

4517 SOUTHLAKE PKWY
HOOVER, AL 35244

Shelby County (205) 329-7543

SOUTHERN ORTHOPAEDIC ALLIANCE, PLLC

Durable Medical Equipment & Medical Supplies

4517 SOUTHLAKE PKWY
HOOVER, AL 35244

Shelby County (205) 985-4111

JILLIAN HART PA-C

Physician Assistant

4517 SOUTHLAKE PKWY
HOOVER, AL 35244

Shelby County (205) 985-4111

SOUTHLAKE ORTHOPAEDICS SPORTS MEDICINE & SPINE CENTER PC

Orthopaedic Surgery

4517 SOUTHLAKE PKWY
BIRMINGHAM, AL 35244

Shelby County (205) 985-4111

DR. DEWEY HOBSON JONES IV M.D.

Orthopaedic Surgery

4517 SOUTHLAKE PKWY
HOOVER, AL 35244

Shelby County (205) 985-4111

DR. JONATHON DAVID WHITEHEAD MD

Orthopaedic Surgery (Hand Surgery)

4517 SOUTHLAKE PKWY
HOOVER, AL 35244

Shelby County (205) 985-4111

MR. BRADLEY WILLIAM MINICH MPT

Physical Therapist (Orthopedic)

4517 SOUTHLAKE PKWY
HOOVER, AL 35244

Shelby County (205) 985-4111

IRIS DANIELLA STUART PA-C

Physician Assistant

4517 SOUTHLAKE PKWY
HOOVER, AL 35244

Shelby County (205) 985-4111

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 David Thornton's NPI number?

The NPI number for David Thornton is 1821052424. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Where is David Thornton located?

David Thornton practices at 4517 Southlake Pkwy, Hoover, AL 35244. The listed phone number is (205) 985-4111.

What is David Thornton's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is David Thornton enrolled in Medicare?

Yes. David Thornton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for David Thornton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Thornton reassigns Medicare benefits to 12 organizations: Cahaba Valley Imaging, LLC (Pelham, AL), Shades Mountain Imaging PC (Vestavia Hills, AL), St Vincents Ambulatory Healthcare Network LLC (Birmingham, AL), Cooper Green Mercy Health Services Authority An Affiliate Of Uab (Birmingham, AL), University Of Alabama Health Services Foundation, PC (Birmingham, AL) and 7 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Thornton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Thornton accept?

Health plans from Blue Cross and Blue Shield of Alabama list David Thornton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Thornton was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.