Organization Active NPI

Daniel E. Thompson, Dennis C.Schnecker&Damon B. Thompson, PC

  • Dentist
  • Blacksburg, VA
National Provider Identifier
1013092311
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DANIEL E. THOMPSON, DENNIS C.SCHNECKER&DAMON B. THOMPSON, PC
Practice address
614 S Main St
Blacksburg, VA 24060-5259
Phone
(540) 953-2980
Fax
(540) 953-2005
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Damon B Thompson, DDS
Title
Officer
Phone
(540) 953-2980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X VA Primary

Addresses

Primary practice location

614 S Main St
Blacksburg, VA 24060-5259

Mailing address

614 S Main St
Blacksburg, VA 24060-5259
Phone (540) 953-2980

Other identifiers 3

IdentifierTypeStateIssuer
9178608MedicaidVA
9176227MedicaidVA
9178610MedicaidVA

National Provider Directory

National Provider Directory

Locations

614 S Main St
Blacksburg, VA 24060
Phone (540) 953-2980

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013092311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 S MAIN ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240605259",
            "telephone_number": "540-953-2980",
            "fax_number": "540-953-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 S MAIN ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240605259",
            "telephone_number": "540-953-2980",
            "fax_number": "540-953-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL E. THOMPSON, DENNIS C.SCHNECKER&DAMON B. THOMPSON, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "540-953-2980",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9178608",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9176227",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9178610",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.