Thompson & Gray, DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

THOMPSON & GRAY, DDS, PA

Practice address

905 Halstead Blvd
Elizabeth City, NC 27909-6986

Phone

(252) 335-4341

NPI assigned

Jun 8, 2022

Organization subpart

No

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

Authorized official

Name

Monique Haslam

Title

Practice Administrator

Phone

(252) 335-4341

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dental Transformations Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1033848593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 HALSTEAD BLVD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279096986",
            "telephone_number": "252-335-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 HALSTEAD BLVD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279096986",
            "telephone_number": "252-335-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON & GRAY, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "HASLAM",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "252-335-4341"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTIST",
            "identifier": "1710437322",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@dentaltransformations.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "905 Halstead Blvd",
            "city": "Elizabeth City",
            "state": "NC",
            "country_code": "US",
            "postal_code": "279096986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dental Transformations",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Williams House
• Therapy Specialties, LLC
• Thomas M Waite LCSW
• Elizabeth Marie Thomas, MA, LCMHC
• Macie Thomas, LCSWA
• Alfred Hunter Thompson, M.D.
• Kaleb Thompson, D.M.D.
• Dwayne Thwaites, MD
• Meghan Tice, PHARMD
• Tidal Smiles Pediatric Dentistry PLLC

• General Practice Dentistry in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.