Active NPI
Thompson Family Dental, LLC
Doing business as PdC Dentistry
- Dental Clinic/Center
- Prairie Du Chien, WI
National Provider Identifier
1134727571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bjorn@prairieduchiendentistry.com |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- 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.