Organization Active NPI

Thompson Family Dental, LLC

Doing business as PdC Dentistry

  • Dental Clinic/Center
  • Prairie Du Chien, WI
National Provider Identifier
1134727571
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
THOMPSON FAMILY DENTAL, LLC
Doing business as
PdC Dentistry
Practice address
110 S Ohio St
Prairie Du Chien, WI 53821-1642
Phone
(608) 326-8458
NPI assigned
Oct 16, 2020
Last updated
Oct 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Authorized official

Name
Bjorn Thompson
Title
Owner
Phone
(608) 326-8458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

110 S Ohio St
Prairie Du Chien, WI 53821-1642

Mailing address

110 S Ohio St
Prairie Du Chien, WI 53821-1642
Phone (608) 326-8458

Other names 1

  • PdC Dentistry Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bjorn@prairieduchiendentistry.com

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: bjorn@prairieduchiendentistry.com

NPI Registry JSON

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1134727571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S OHIO ST",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538211642",
            "telephone_number": "608-326-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S OHIO ST",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538211642",
            "telephone_number": "608-326-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "BJORN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-326-8458"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bjorn@prairieduchiendentistry.com",
            "affiliation": "N",
            "address_1": "110 S Ohio St",
            "city": "Prairie Du Chien",
            "state": "WI",
            "country_code": "US",
            "postal_code": "538211642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PdC Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prairie Du Chien, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.