Carolyn Jo Thompson, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

107088 Issued in CA

Practice address

1445 Encinitas Blvd
Encinitas, CA 92024-2931

Phone

(760) 942-7272

NPI assigned

Sep 16, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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.

• Christopher Henninger D M D Inc

  • General Practice Dentistry
  • Vista, CA
  • NPI 1063891851
  NPD (past)

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1376091504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 N RIOS AVE",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751242",
            "telephone_number": "920-368-4667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 ENCINITAS BLVD",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242931",
            "telephone_number": "760-942-7272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2D DENBN/NDC, PSC 20130 315 MCHUGH BLVD",
            "address_2": "COMMANDING OFFICER",
            "address_purpose": "LOCATION",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285420130",
            "country_code": "US",
            "telephone_number": "910-451-2208 x203",
            "fax_number": "910-451-8036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Vale Terrace Dr",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920845218",
            "country_code": "US",
            "telephone_number": "760-631-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1934 Via Ctr Ste A",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920816056",
            "country_code": "US",
            "telephone_number": "760-940-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CAROLYN",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-16",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107088",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN22158",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nazaneen Mahsa Thelin, PHARMD
• Yumi Nancy Thepkulchon, M.A., BCBA
• Sandra Landstedt Thoma, MAMFT
• Lauren Sierra Thomas, PSY.D.
• Matthew Morrill Thomas, MD
• Dawn L Thompson, CD
• Charlise Thorn
• Lindsey Nicole Thornton, MA, CCC-SLP
• Charles James Threatt III, LPCC, PPS
• Thrifty Payless Inc

• Dentist in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.