Shelley Thompson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21410 Issued in OH

Practice address

21 N High St
New Albany, OH 43054-8532

Phone

(614) 855-0202

Fax

(614) 855-8520

NPI assigned

Apr 3, 2007

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194846592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8639 HAWICK CT S",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430179613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N HIGH ST",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548532",
            "telephone_number": "614-855-0202",
            "fax_number": "614-855-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SHELLEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thera Care Inc
• Taylor Therriault
• Julie Marie Thiel, CRNA
• Michael C Thomas, PA-C
• David Alan Thompson, PA-C
• Lisa M. Thornton, PHD
• Laurie Tincher, PHARMD
• Antigone Tomashuk
• Total Care LLC
• Total Renal Care Inc

• All providers in New Albany, OH
• General Practice Dentistry in Ohio

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.