Active NPI
Damon B Thompson DDS PC
- Dentist
- Blacksburg, VA
National Provider Identifier
1336461094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8616
- Legal business name
- DAMON B THOMPSON DDS PC
- Practice address
- 202 S Main St
Suite 101
Blacksburg, VA 24060-4880 - Phone
- (540) 552-5433
- Fax
- (540) 552-2273
- NPI assigned
- Feb 23, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Damon B. Thompson, DDS, PC
- Title
- Dentist
- Phone
- (540) 552-5433
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8616 | VA | Primary |
Addresses
Primary practice location
202 S Main St
Suite 101
Blacksburg, VA 24060-4880
Mailing address
202 S Main St
Suite 101
Blacksburg, VA 24060-4880
Phone (540) 552-5433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9178608 | Medicaid | VA |
Other names 1
- Real Life Dental
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Blacksburg, VA
- NPI 1811071871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462492800000",
"number": "1336461094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 S MAIN ST",
"address_2": "SUITE 101",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240604880",
"telephone_number": "540-552-5433",
"fax_number": "540-552-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 S MAIN ST",
"address_2": "SUITE 101",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240604880",
"telephone_number": "540-552-5433",
"fax_number": "540-552-2273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAMON B THOMPSON DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-23",
"last_updated": "2016-05-06",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "DAMON",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "540-552-5433",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS, PC"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "VA",
"license": "8616",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9178608",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Real Life Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Blacksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.