NPIMap

Organization Active NPI

Shawn Lee Thompson DDS Inc

  • Durable Medical Equipment & Medical Supplies
  • Pemberville, OH
National Provider Identifier
1386912426
Registry record updated Dec 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
20609 Issued in OH
Legal business name
SHAWN LEE THOMPSON DDS INC
Practice address
401 W College Ave
Pemberville, OH 43450-9495
Phone
(419) 287-4910
NPI assigned
Dec 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2011

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

Authorized official

Name
Shawn Lee Thompson, DDSNPI 1881808657
Title
President
Phone
(419) 287-4910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 20609 OH Primary

Addresses

Primary practice location

401 W College Ave
Pemberville, OH 43450-9495

Mailing address

401 W College Ave
Pemberville, OH 43450-9495
Phone (419) 287-4910

National Provider Directory

National Provider Directory

Locations

401 W College Ave
Pemberville, OH 43450
Phone (419) 287-3205

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322956800000",
    "number": "1386912426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W COLLEGE AVE",
            "city": "PEMBERVILLE",
            "state": "OH",
            "postal_code": "434509495",
            "telephone_number": "419-287-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W COLLEGE AVE",
            "city": "PEMBERVILLE",
            "state": "OH",
            "postal_code": "434509495",
            "telephone_number": "419-287-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN LEE THOMPSON DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-04",
        "last_updated": "2011-12-04",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-287-4910",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "20609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pemberville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2011; 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.