John Thompson

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9429 Issued in KY

Practice address

189 Baker Ave
Webster Groves, MO 63119-3732

Phone

(314) 961-1160

NPI assigned

Jun 12, 2012

Last updated

Dec 31, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• Webster Dental Care

  • General Practice Dentistry
  • Webster Groves, MO
  • NPI 1952491383
  NPD (past)

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451520000000",
    "number": "1417219734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 DIXIE HWY",
            "city": "PARK HILLS",
            "state": "KY",
            "postal_code": "410112852",
            "telephone_number": "859-431-3254",
            "fax_number": "859-431-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 BAKER AVE",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631193732",
            "telephone_number": "314-961-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2015-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Marie Sullivan, PLPC
• Supra Seniors LLC (Sarah Care Centre Adult Day Services)
• Crissann Sykes
• Adam R Tanase, D.C.
• Eleanor Thomas, OD
• Nicole Thompson, RN
• Sarah Thornton, MSW, LCSW
• Erica L Torgrude, DPM
• Beltran Nicolas Torres
• Total Access Urgent Care, PC

• General Practice Dentistry in Webster Groves, MO
• Providers in Webster Groves, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.