Active NPI
Maya S Thompson, DMD
- Pediatric Dentistry
- West Collingswood, NJ
National Provider Identifier
1386135960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 22DI02796300
- Practice address
- 501 White Horse Pike
West Collingswood, NJ 08107-1729 - Phone
- (856) 854-1509
- NPI assigned
- May 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 22DI02796300 | NJ | Primary |
Addresses
Primary practice location
501 White Horse Pike
West Collingswood, NJ 08107-1729
Mailing address
501 White Horse Pike
West Collingswood, NJ 08107-1729
Phone (856) 854-1509
Other practice location 1
1910 Route 70 E Ste 9
Cherry Hill, NJ 08003-2123
Phone (856) 424-5955
Other practice location 2
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02796300 | NJ | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duck Duck Tooth Pediatric Dentistry LLC | Current | Accepting new patients | |
| Dentistry for Special People | Pediatric Dentistry | Past | Accepting new patients |
| T'Zuna Bria Publishing Company, LLC | Past | Accepting new patients |
Locations
69 1st Ave
Raritan, NJ 08869
Phone (800) 631-5250
Organizations & group practices 3
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.
-
- Dental Clinic/Center
- Ewing, NJ
- NPI 1346061173
-
- Pediatric Dentistry
- Cherry Hill, NJ
- NPI 1588626196
-
- Speech-Language Pathologist
- Newtown Square, PA
- NPI 1376085852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656201600000",
"number": "1386135960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 WHITE HORSE PIKE",
"city": "WEST COLLINGSWOOD",
"state": "NJ",
"postal_code": "081071729",
"telephone_number": "856-854-1509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 WHITE HORSE PIKE",
"city": "WEST COLLINGSWOOD",
"state": "NJ",
"postal_code": "081071729",
"telephone_number": "856-854-1509"
}
],
"practiceLocations": [
{
"address_1": "1910 Route 70 E Ste 9",
"address_purpose": "LOCATION",
"city": "Cherry Hill",
"state": "NJ",
"postal_code": "080032123",
"country_code": "US",
"telephone_number": "856-424-5955",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11100 Euclid Ave",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441061716",
"country_code": "US",
"telephone_number": "216-844-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "MAYA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-19",
"last_updated": "2022-06-26",
"certification_date": "2022-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NJ",
"license": "22DI02796300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Collingswood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.