Organization Active NPI

Jared M. Thompson, DMD, LLC

  • General Practice Dentistry
  • Forest Grove, OR
National Provider Identifier
1396014338
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D8734 Issued in OR
Legal business name
JARED M. THOMPSON, DMD, LLC
Doing business as
Pacific Oak Dental
Practice address
2031 Hawthorne St Ste a
Forest Grove, OR 97116-1700
Phone
(503) 357-9122
NPI assigned
Dec 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Authorized official

Name
Dr. Jared Michael Thompson, DMDNPI 1649283235
Title
Managing Member
Phone
(503) 357-9122

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D8734 OR Primary

Addresses

Primary practice location

2031 Hawthorne St Ste a
Forest Grove, OR 97116-1700

Mailing address

2031 Hawthorne St Ste a
Forest Grove, OR 97116-1700
Phone (503) 357-9122

Other names 1

  • Pacific Oak Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2031 Hawthorne St
Ste A
Forest Grove, OR 97116
Phone (503) 351-9043

Practitioners & affiliated clinicians

Practitioners 1

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": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1396014338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 HAWTHORNE ST STE A",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971161700",
            "telephone_number": "503-357-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 HAWTHORNE ST STE A",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971161700",
            "telephone_number": "503-357-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARED M. THOMPSON, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "503-357-9122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Oak Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forest Grove, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.