NPIMap

Organization Active NPI

David I Thompson DDS & Assoc

  • General Practice Dentistry
  • Sunnyvale, CA
National Provider Identifier
1053463182
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31873 Issued in CA
Legal business name
DAVID I THOMPSON DDS & ASSOC
Practice address
1309 So Mary Ave
Suite 105
Sunnyvale, CA 94087-3053
Phone
(408) 736-3602
Fax
(408) 736-3061
NPI assigned
Jan 17, 2007
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
David Ian Thompson, DDS
Title
Owner
Phone
(408) 736-3602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 31873 CA Primary

Addresses

Primary practice location

1309 So Mary Ave
Suite 105
Sunnyvale, CA 94087-3053

Mailing address

1309 So Mary Ave
Suite 105
Sunnyvale, CA 94087-3053
Phone (408) 736-3602

Other identifiers 1

IdentifierTypeStateIssuer
G9373201MedicaidCA

National Provider Directory

National Provider Directory

Locations

1309 S Mary Ave
Ste 105
Sunnyvale, CA 94087
Phone (408) 736-3602

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053463182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 SO MARY AVE",
            "address_2": "SUITE 105",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873053",
            "telephone_number": "408-736-3602",
            "fax_number": "408-736-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 SO MARY AVE",
            "address_2": "SUITE 105",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940873053",
            "telephone_number": "408-736-3602",
            "fax_number": "408-736-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID I THOMPSON DDS & ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-736-3602",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9373201",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

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.