Connor L Thompson, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

70063369922 Issued in UT

Practice address

35 E 400 S
Ephraim, UT 84627-1336

Phone

(435) 283-4081

Fax

(435) 283-6151

NPI assigned

Aug 28, 2008

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 UT

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 and National Provider Directory roles.

• Ephraim Family Dental Clinic, Inc.

  • Dental Clinic/Center
  • Ephraim, UT
  • NPI 1598881906
  NPD (past)

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1356599757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 E 400 S",
            "city": "EPHRAIM",
            "state": "UT",
            "postal_code": "846271336",
            "telephone_number": "435-283-4081",
            "fax_number": "435-283-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 E 400 S",
            "city": "EPHRAIM",
            "state": "UT",
            "postal_code": "846271336",
            "telephone_number": "435-283-4081",
            "fax_number": "435-283-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CONNOR",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "70063369922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Jared Strait, LCSW
• Harmonie Sadie Strickland
• Carolina Gidget G Taylor, MA, AMFT
• Lisa Taylor
• Ralaina M Taylor
• Leland R Thompson, D.D.S.
• Shannon Thompson
• Wesley B Thompson, D.M.D.
• Kimberley Thornberry
• Dane Thurston, PA

• General Practice Dentistry in Ephraim, UT
• Providers in Ephraim, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.