Individual provider Active NPI

John Scott Thompson, DMD

  • General Practice Dentistry
  • Essex JCT, VT
National Provider Identifier
1063593754
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0160001058 Issued in VT
Practice address
173 West St
Essex JCT, VT 05452-4616
Phone
(802) 879-7811
Fax
(802) 879-7030
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0160001058 VT Primary

Addresses

Primary practice location

173 West St
Essex JCT, VT 05452-4616

Mailing address

173 West St
Essex JCT, VT 05452-4616
Phone (802) 879-7811

Other identifiers 1

IdentifierTypeStateIssuer
1002183MedicaidVT

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0160001058VTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
West Street Dental, PLLC General Practice PastSince Apr 13, 2025 Accepting new patients
J. Scott Thompson, D.M.D., P.C. General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063593754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 WEST ST",
            "city": "ESSEX JCT",
            "state": "VT",
            "postal_code": "054524616",
            "telephone_number": "802-879-7811",
            "fax_number": "802-879-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 WEST ST",
            "city": "ESSEX JCT",
            "state": "VT",
            "postal_code": "054524616",
            "telephone_number": "802-879-7811",
            "fax_number": "802-879-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JOHN",
        "middle_name": "SCOTT",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "0160001058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002183",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex JCT, VT

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.

Verify at the official NPI Registry.