Active NPI
Donald Joseph Thompson, DDS
- Dentist
- Lubbock, TX
National Provider Identifier
1164528345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D13227
- Practice address
- 3602 Slide Rd
Suite 31D Security Park
Lubbock, TX 79414-2532 - Phone
- (806) 793-3535
- Fax
- (806) 281-0224
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D13227 | TX | Primary |
Addresses
Primary practice location
3602 Slide Rd
Suite 31D Security Park
Lubbock, TX 79414-2532
Mailing address
3602 Slide Rd
Suite 31D Security Park
Lubbock, TX 79414-2532
Phone (806) 793-3535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D13227 | Other | TX | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| D13227 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164528345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3602 SLIDE RD",
"address_2": "SUITE 31D SECURITY PARK",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794142532",
"telephone_number": "806-793-3535",
"fax_number": "806-281-0224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3602 SLIDE RD",
"address_2": "SUITE 31D SECURITY PARK",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794142532",
"telephone_number": "806-793-3535",
"fax_number": "806-281-0224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "DONALD",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "D13227",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "D13227",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.