Active NPI
Kurt Wade Thompson, DDS
- Oral & Maxillofacial Surgery (D.M.D.)
- Folsom, CA
National Provider Identifier
1033207444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 30845
- Practice address
- 785 Hana Way
Ste 101
Folsom, CA 95630 - Phone
- (916) 817-8937
- Fax
- (916) 817-8936
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 30845 | CA | Primary |
Addresses
Primary practice location
785 Hana Way
Ste 101
Folsom, CA 95630
Mailing address
785 Hana Way
Ste 101
Folsom, CA 95630
Phone (916) 817-8937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30845 | CA | MD | Oral & Maxillofacial Surgery (D.M.D.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033207444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "785 HANA WAY",
"address_2": "STE 101",
"city": "FOLSOM",
"state": "CA",
"postal_code": "95630",
"telephone_number": "916-817-8937",
"fax_number": "916-817-8936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 HANA WAY",
"address_2": "STE 101",
"city": "FOLSOM",
"state": "CA",
"postal_code": "95630",
"telephone_number": "916-817-8937",
"fax_number": "916-817-8936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "KURT",
"middle_name": "WADE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "CA",
"license": "30845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Folsom, CA
Sources for this page
- 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.