Dr. Kenneth Thompson D.D.S.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

1888 Issued in AR

Legal business name

DR. KENNETH THOMPSON D.D.S.

Practice address

2701 SE G St
Suite 9
Bentonville, AR 72712-3740

Phone

(479) 273-5345

Fax

(479) 273-5335

NPI assigned

Dec 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth R. Thompson, D.D.S.NPI 1437286861

Title

Dentist/Owner

Phone

(479) 273-5345

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Ray Thompson, DDS

  • Dentist
  • Bentonville, AR
  • NPI 1437286861
  NPD (past) Authorized official

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1124264965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 SE G ST",
            "address_2": "SUITE 9",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123740",
            "telephone_number": "479-273-5345",
            "fax_number": "479-273-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 SE G ST",
            "address_2": "SUITE 9",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123740",
            "telephone_number": "479-273-5345",
            "fax_number": "479-273-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KENNETH THOMPSON D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "479-273-5345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AR",
            "license": "1888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101101608",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1437286861",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kierstin M Douglas
• Megan Dover, PHARMD
• Alexis Downs, PA-C
• Lauren Doyel, MA
• Dr Noah Banks Chiropractic PLLC
• Dr. Wil R. McCauley, P.a.
• Sarah Ashley Drain
• Destiny Draper, PTA
• Lisa Draxler, MHPP
• Tricia L Dreas, LMSW

• Dental Clinic/Center in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Dental Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.