Organization Active NPI

Kaleb C Thompson DMD PA VI

  • General Practice Dentistry
  • Leland, NC
National Provider Identifier
1114782836
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KALEB C THOMPSON DMD PA VI
Doing business as
Dental Transformations Leland
Practice address
1006 Northgate Dr
Leland, NC 28451-6448
Phone
(252) 335-4341
NPI assigned
Feb 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Authorized official

Name
Kaleb C Thompson, DMD
Title
Owhner
Phone
(252) 335-4341

Specialties & licenses 1

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

Addresses

Primary practice location

1006 Northgate Dr
Leland, NC 28451-6448

Mailing address

814 Canal Cove Rd
Lake Waccamaw, NC 28450-1816
Phone (248) 513-0259

Other names 1

  • Dental Transformations Leland Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1114782836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 CANAL COVE RD",
            "city": "LAKE WACCAMAW",
            "state": "NC",
            "postal_code": "284501816",
            "telephone_number": "248-513-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 NORTHGATE DR",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284516448",
            "telephone_number": "252-335-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALEB C THOMPSON DMD PA VI",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KALEB",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWHNER",
        "authorized_official_telephone_number": "252-335-4341",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Transformations Leland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leland, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.