Active NPI
Ty Thompson Sr.
- Home Modifications Contractor
- Desoto, TX
National Provider Identifier
1295515328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- Practice address
- 1612 Stray Horn Dr
Desoto, TX 75115-2773 - Phone
- (214) 537-3684
- NPI assigned
- Oct 5, 2023
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | TX | ||
| Home Modifications Contractor | 171WH0202X | TX | Primary |
Addresses
Primary practice location
1612 Stray Horn Dr
Desoto, TX 75115-2773
Mailing address
1612 Stray Horn Dr
Desoto, TX 75115-2773
Phone (214) 537-3684
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696464000000",
"number": "1295515328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 STRAY HORN DR",
"city": "DESOTO",
"state": "TX",
"postal_code": "751152773",
"telephone_number": "214-537-3684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 STRAY HORN DR",
"city": "DESOTO",
"state": "TX",
"postal_code": "751152773",
"telephone_number": "214-537-3684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "TY",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-05",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Desoto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.