NPIMap

Organization Active NPI

Thompson and Audette Dental Group, Inc.

Doing business as Friends Dental Group

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1083022081
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
57353 Issued in CA
Legal business name
THOMPSON AND AUDETTE DENTAL GROUP, INC.
Doing business as
Friends Dental Group
Practice address
1761 Palm Ave
San Diego, CA 92154-1150
Phone
(619) 429-5151
Fax
(619) 429-5834
NPI assigned
Jul 23, 2014
Last updated
Jul 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Authorized official

Name
Dr. Uyen Thompson, D.D.S.NPI 1578712485
Title
Treasurer
Phone
(310) 756-2321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 57353 CA Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 57402 CA

Addresses

Primary practice location

1761 Palm Ave
San Diego, CA 92154-1150

Mailing address

1001 Plaza Escalante
Chula Vista, CA 91910-8135
Phone (310) 756-2321

Other names 1

  • Friends Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

1761 Palm Ave
San Diego, CA 92154
Phone (619) 429-5151

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1083022081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PLAZA ESCALANTE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919108135",
            "telephone_number": "310-756-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 PALM AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921541150",
            "telephone_number": "619-429-5151",
            "fax_number": "619-429-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON AND AUDETTE DENTAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "UYEN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "310-756-2321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57353",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57402",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friends Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.