Roger L Thompson

Primary specialty

DentistTaxonomy code 122300000X

License

6751 Issued in IN

Practice address

6496 N Piqua Rd
Decatur, IN 46733-9434

Phone

(260) 724-8746

Fax

(260) 724-2175

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Roger Thompson Professional name

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.

• Decatur Dental Services, Inc.

  • Dentist
  • Decatur, IN
  • NPI 1124163563
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013082304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6496 N PIQUA RD",
            "city": "DECATUR",
            "state": "IN",
            "postal_code": "46733",
            "telephone_number": "260-724-8746",
            "fax_number": "260-724-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6496 N PIQUA RD",
            "city": "DECATUR",
            "state": "IN",
            "postal_code": "467339434",
            "telephone_number": "260-724-8746",
            "fax_number": "260-724-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ROGER",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "6751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROGER",
            "last_name": "THOMPSON",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Darvin Keith Suter
• Brittany Taritas, MSW
• Blake A Taylor, DDS
• Jennifer Elizabeth Taylor, DO
• Taylor Patrick Terveer
• Isabella Lorraine Thornsberry
• Three Roads Therapy LLC
• Kelly S Ulman, DDS
• Sabra Ann Vanauken
• Samantha Rose Vergara, NP

• Dentist in Decatur, IN
• Providers in Decatur, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.