Active NPI
Travis Thompson
- Oral and Maxillofacial Pathology Dentistry
- Jupiter, FL
National Provider Identifier
1255302105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- DN14670
- Practice address
- 1025 Military Trail
Suite 110
Jupiter, FL 33458 - Phone
- (561) 743-8311
- Fax
- (561) 744-6201
- NPI assigned
- Jan 30, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | DN14670 | FL | Primary |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DN14670 | FL |
Addresses
Primary practice location
1025 Military Trail
Suite 110
Jupiter, FL 33458
Mailing address
1025 Military Trail
Suite 110
Jupiter, FL 33458
Phone (561) 743-8311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080130000353 | FL | Practitioner - Oral Surgery | 2769564772 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN14670 | FL | MD | Oral and Maxillofacial Pathology Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1255302105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 MILITARY TRAIL",
"address_2": "SUITE 110",
"city": "JUPITER",
"state": "FL",
"postal_code": "33458",
"telephone_number": "561-743-8311",
"fax_number": "561-744-6201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 MILITARY TRAIL",
"address_2": "SUITE 110",
"city": "JUPITER",
"state": "FL",
"postal_code": "33458",
"telephone_number": "561-743-8311",
"fax_number": "561-744-6201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "TRAVIS",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "FL",
"license": "DN14670",
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "FL",
"license": "DN14670",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jupiter, FL
- Thomas R Rowe General & Oncologic Surgery PA
- Adele Thomas, COSMETOLOGIST
- Christelle Thomas
- Christen Thompson, LMHC, NCC
- Delight C. a. Thompson, PSY.D., ED.M.
- Cathy B Thomson, MD
- Thorough Pharmacists Inc (Palm Beach Compounding Pharmacy)
- Three Palms Dental (Aesthetic Dental of Jupiter)
- Thrive Wellness and Primary Care, LLC
- Steven M Tidwell, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.