Individual provider Active NPI

Aaron Thompson, DMD

  • Endodontics
  • Garland, TX
National Provider Identifier
1124244678
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
21670 Issued in TX
Practice address
4880 N George Bush Hwy # 102
Garland, TX 75040-2742
Phone
(972) 496-0164
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 21670 TX Primary

Addresses

Primary practice location

4880 N George Bush Hwy # 102
Garland, TX 75040-2742

Mailing address

4880 N President George Bush Hwy # 102
Garland, TX 75040-2742
Phone (512) 633-0512

Other practice location 1

105 Edwards Village Blvd
suite d203
Edwards, CO 81632-9914
Phone (970) 569-3074

Other identifiers 1

IdentifierTypeStateIssuer
21670OtherTXSTATE DENTAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fw@endospecialiststx.com

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
21670TXMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1124244678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4880 N PRESIDENT GEORGE BUSH HWY # 102",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402742",
            "telephone_number": "512-633-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 N GEORGE BUSH HWY # 102",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402742",
            "telephone_number": "972-496-0164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Edwards Village Blvd",
            "address_2": "suite d203",
            "address_purpose": "LOCATION",
            "city": "Edwards",
            "state": "CO",
            "postal_code": "816329914",
            "country_code": "US",
            "telephone_number": "970-569-3074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2021-04-08",
        "certification_date": "2021-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "21670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LICENSE",
            "identifier": "21670",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fw@endospecialiststx.com",
            "affiliation": "N",
            "address_1": "4880 N George Bush Hwy # 102",
            "city": "Garland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750402742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.