Individual provider Active NPI

James W. Thompson II

  • Dentist
  • Mt Pleasant, PA
National Provider Identifier
1306045430
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DSO37226 Issued in PA
Practice address
130 Cross Roads PLZ
Mt Pleasant, PA 15666-2287
Phone
(724) 542-7177
Fax
(724) 542-7174
NPI assigned
Jul 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DSO37226 PA Primary

Addresses

Primary practice location

130 Cross Roads PLZ
Mt Pleasant, PA 15666-2287

Mailing address

130 Cross Roads PLZ
Mt Pleasant, PA 15666-2287
Phone (724) 542-7177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20150316000928 PA Order and Referring Only - DentistPractitioner - Dentist 6305163114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DSO37226PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
James W. Thompson II D.M.D. LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1306045430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 CROSS ROADS PLZ",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156662287",
            "telephone_number": "724-542-7177",
            "fax_number": "724-542-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CROSS ROADS PLZ",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156662287",
            "telephone_number": "724-542-7177",
            "fax_number": "724-542-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JAMES",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DSO37226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, PA

Sources for this page

Verify at the official NPI Registry.