Organization Active NPI

Michael P Thompson DDS PLLC

  • Endodontics
  • Litchfield Park, AZ
National Provider Identifier
1003237421
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
D008174 Issued in AZ
Legal business name
MICHAEL P THOMPSON DDS PLLC
Practice address
111 W. Wigwam Blvd.
Ste. B
Litchfield Park, AZ 85340-4901
Phone
(623) 536-1100
Fax
(623) 536-1074
NPI assigned
Jan 2, 2014
Last updated
Feb 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Authorized official

Name
Dr. Michael P. Thompson, DDSNPI 1376521591
Title
Owner/Endodontist
Phone
(623) 536-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X D008174 AZ Primary

Addresses

Primary practice location

111 W. Wigwam Blvd.
Ste. B
Litchfield Park, AZ 85340-4901

Mailing address

111 W. Wigwam Blvd.
Ste. B
Litchfield Park, AZ 85340-4901
Phone (623) 536-1100

National Provider Directory

National Provider Directory

Locations

111 W Wigwam Blvd
Ste B
Litchfield Park, AZ 85340
Phone (623) 536-1100

13575 W Indian School Rd
Ste 150
Litchfield Park, AZ 85340

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1003237421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W. WIGWAM BLVD.",
            "address_2": "STE. B",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404901",
            "telephone_number": "623-536-1100",
            "fax_number": "623-536-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W. WIGWAM BLVD.",
            "address_2": "STE. B",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404901",
            "telephone_number": "623-536-1100",
            "fax_number": "623-536-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL P THOMPSON DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-02",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER/ENDODONTIST",
        "authorized_official_telephone_number": "623-536-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "D008174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield Park, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.