Active NPI
David Ian Thompson, DDS
- General Practice Dentistry
- Sunnyvale, CA
National Provider Identifier
1295745701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 31873
- Practice address
- 1309 So Mary Ave
Ste 105
Sunnyvale, CA 94087-3053 - Phone
- (408) 736-3602
- Fax
- (408) 736-3061
- NPI assigned
- Aug 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 31873 | CA | Primary |
Addresses
Primary practice location
1309 So Mary Ave
Ste 105
Sunnyvale, CA 94087-3053
Mailing address
1309 So Mary Ave
Ste 105
Sunnyvale, CA 94087-3053
Phone (408) 736-3602
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G9373201 | Medicaid | CA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31873 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295745701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 SO MARY AVE",
"address_2": "STE 105",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940873053",
"telephone_number": "408-736-3602",
"fax_number": "408-736-3061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 SO MARY AVE",
"address_2": "STE 105",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940873053",
"telephone_number": "408-736-3602",
"fax_number": "408-736-3061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "DAVID",
"middle_name": "IAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "31873",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G9373201",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sunnyvale, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.