Fred Elmo Thompson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12339 Issued in TX

Practice address

1600 Republic Pkwy
Suite 210
Mesquite, TX 75150-6918

Phone

(972) 686-1000

Fax

(972) 686-2231

NPI assigned

May 15, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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 TX

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thompson, Shaddix & Fisher, LLP

  dba Southwest Dental Associates

  • Dentist
  • Mesquite, TX
  • NPI 1831316512
  NPD (past) Authorized official

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326254772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 REPUBLIC PKWY",
            "address_2": "SUITE 210",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506918",
            "telephone_number": "972-686-1000",
            "fax_number": "972-686-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 REPUBLIC PKWY",
            "address_2": "SUITE 210",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506918",
            "telephone_number": "972-686-1000",
            "fax_number": "972-686-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "FRED",
        "middle_name": "ELMO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jainamma Thomas
• Sam Thomas
• Shirly Thomas
• Thompson Counseling Services, PLLC
• Brittney Marie-Brown Thompson, LPC
• Jacqueline Elizabeth Thompson, M.ED
• Joyce Mai Thompson, M.D.
• Thompson, Shaddix & Fisher, LLP (Southwest Dental Associates)
• Te'Ara L Thompson, DPT
• Jessica Thorman, PT, DPT, ATC, LAT

• General Practice Dentistry in Mesquite, TX
• Providers in Mesquite, TX by specialty
• General Practice Dentistry in Texas

• 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.