Geffrey W Thompson, D.M.D., PA.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D1655 Issued in ID

Practice address

1322 W Kathleen Ave
Coeur D Alene, ID 83815-7365

Phone

(208) 667-7461

Fax

(208) 765-5753

NPI assigned

Aug 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

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.

• Coeur D Alene Dental Center

  • General Practice Dentistry
  • Coeur d'Alene, ID
  • NPI 1477847176
  NPD (past) Authorized official
• Geffrey W. Thompson

  dba Coeur d'Alene Dental Center

  • General Practice Dentistry
  • Coeur d'Alene, ID
  • NPI 1992970503
  NPD (past) Authorized official

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366453565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 W KATHLEEN AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838157365",
            "telephone_number": "208-667-7461",
            "fax_number": "208-765-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 W KATHLEEN AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838157365",
            "telephone_number": "208-667-7461",
            "fax_number": "208-765-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "GEFFREY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.M.D., PA.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D1655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0025332",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justine Thomas
• Sharon Joan Thomas, LMSW
• Clinton M Thome, M.D.
• Amy Katherine Thompson, ARNP
• Chandler James Thompson
• Justin Thompson, MD
• Lucia Sabine Thompson, D.C.
• Lynn Marie Thompson, LMSW
• Lynette Paula Thoms, PT
• Stephanie Lee Thomson, LMSW

• General Practice Dentistry in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• General Practice Dentistry in Idaho

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.