Jiyun Thompson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12011822A Issued in IN

Practice address

1060 E 86TH St Ste 59
Indianapolis, IN 46240-1831

Phone

(317) 846-9444

Fax

(317) 846-9454

NPI assigned

Jan 9, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thompson Family Dental at Nora

  • Dental Clinic/Center
  • Indianapolis, IN
  • NPI 1184139081
  NPD (past) Authorized official

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1265779367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 E 86TH ST STE 59",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401831",
            "telephone_number": "317-846-9444",
            "fax_number": "317-846-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 E 86TH ST STE 59",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401831",
            "telephone_number": "317-846-9444",
            "fax_number": "317-846-9454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6443 West 10th Street",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462146502",
            "country_code": "US",
            "telephone_number": "317-247-9512",
            "fax_number": "317-484-6393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JIYUN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011822A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Merritt Thompson, DNP-FNP
• James Jay Thompson, ABOC
• James Mitchell Thompson, D.O.
• Jashanda Thompson, MSW
• Jennifer Thompson, M.D.
• Jon C Thompson, PSYD
• Joseph Thompson, DDS
• Joseph Scott Thompson, MD
• Joshua A Thompson
• June Thompson

• All providers in Indianapolis, IN
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.