Sofia Thompson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.033782 Issued in IL

Practice address

3440 Ohio St BLDG 1017
Great Lakes, IL 60088-3155

Phone

(847) 688-2100

NPI assigned

Jun 21, 2022

Last updated

Jun 21, 2022By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1356072383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 GREEN BAY RD APT 228",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 OHIO ST BLDG 1017",
            "city": "GREAT LAKES",
            "state": "IL",
            "postal_code": "600883155",
            "telephone_number": "847-688-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SOFIA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.033782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Alan Strnad, DO10
• David Stubbs
• Arthur Allen Studebaker, DPM
• Samuel Taylor, D.M.D.
• Jason P Theobald, DDS
• Sheryl Thykattil, DDS
• Barbara Jean Tomcko, D.D.S.
• David Emilio Torrez
• Hoang Harry Huy Joseph Tran, O.D.
• Matthew Turner, D.D.S

• General Practice Dentistry in Great Lakes, IL
• Providers in Great Lakes, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.