Kaleb C. Thompson, DMD, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KALEB C. THOMPSON, DMD, PA

Doing business as

Dental Transformations

Practice address

408 E Colonial Ave
Elizabeth City, NC 27909-4363

Phone

(252) 335-4341

NPI assigned

Oct 30, 2017

Organization subpart

No

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

Authorized official

Name

Monique Haslam

Title

Practice Administrator

Phone

(252) 335-4341

Specialties & licenses 1

Addresses

Other names 1

• Dental Transformations Doing business as

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1235641341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E COLONIAL AVE",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E COLONIAL AVE",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094363",
            "telephone_number": "252-335-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALEB C. THOMPSON, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "HASLAM",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "252-335-4341"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Transformations",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra S Jordan, M.ED.
• Audrey Maurise Joy, PT
• Roscoe Waylon Joyner III, LPT
• Michael Louis Juliano, MD
• Kaleb C Thompson, DMD, PA Iiii
• Joann Kaminski, LCAS
• Karen Monique Wuertz, DDS, PA
• Karl W Hubbard, MD Orthopedics & Sports Medicine
• Madhuri Katta, DDS
• Kristin Nickla Kaul, M.S., L.P.A., HSP-PA

• General Practice Dentistry in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; 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.