Donald Willis Thompson, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

4335 Issued in AL

Practice address

2224 Cahaba Valley Dr
Ste. a-1
Birmingham, AL 35242-2668

Phone

(205) 437-0777

Fax

(205) 437-0888

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

Yes

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 AL

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

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295816593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 CAHABA VALLEY DR",
            "address_2": "STE. A-1",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422668",
            "telephone_number": "205-437-0777",
            "fax_number": "205-437-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 CAHABA VALLEY DR",
            "address_2": "STE. A-1",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422668",
            "telephone_number": "205-437-0777",
            "fax_number": "205-437-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "DONALD",
        "middle_name": "WILLIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "AL",
            "license": "4335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne B Thompson, LCSW
• Alexandra Hope Thompson
• Amy Kathleen Thompson
• Anna Thompson
• Bryce V Thompson, RD, LD
• Elaine K Thompson, O.D.
• Elizabeth Thompson
• Fayette D Thompson, COTA
• Glen Alan Thompson, PHARM.D.
• James D Thompson, MS, ALC

• Periodontics in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Periodontics in Alabama

• 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.
• 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.