Individual provider Active NPI

John J Thompson, CO

  • Orthotist
  • Oklahoma City, OK
National Provider Identifier
1104063858
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
LO17 Issued in OK
Practice address
4401 W Memorial Rd Ste 137
Oklahoma City, OK 73134-1787
Phone
(405) 752-4298
Fax
(405) 752-9765
NPI assigned
Jan 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X LO17 OK Primary

Addresses

Primary practice location

4401 W Memorial Rd Ste 137
Oklahoma City, OK 73134-1787

Mailing address

4401 W Memorial Rd Ste 137
Oklahoma City, OK 73134-1787
Phone (405) 752-4298

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
LO17OKMDOrthotist

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10782/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232064000000",
    "number": "1104063858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 W MEMORIAL RD STE 137",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341787",
            "telephone_number": "405-752-4298",
            "fax_number": "405-752-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 W MEMORIAL RD STE 137",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341787",
            "telephone_number": "405-752-4298",
            "fax_number": "405-752-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "CO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-16",
        "last_updated": "2009-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "OK",
            "license": "LO17",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.