Crystal Thompson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10298 Issued in OR

Practice address

940 Ellendale Dr
Medford, OR 97504-8216

Phone

(541) 779-9059

Fax

(541) 779-0226

NPI assigned

Aug 19, 2015

Last updated

Aug 19, 2015By the provider in NPPES

Sex

Female

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

Enrolled in AZ

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tamara K. Abbett, DDS, PC

  • Dentist
  • Medford, OR
  • NPI 1801200761
  NPD (past)

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1417323817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 ELLENDALE DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048216",
            "telephone_number": "541-779-9059",
            "fax_number": "541-779-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 ELLENDALE DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048216",
            "telephone_number": "541-779-9059",
            "fax_number": "541-779-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CRYSTAL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Harold Thomas IV, MS
• Sarah G Thomas
• Thomason Child and Family Therapy LLC
• Rebecca Thomason
• Cambria Renee Thompson
• Cynthia Lynn Thompson, QMHA
• Heather Dannielle Thompson, M.S.
• Jacob Dean Thompson, PA-C
• Jeffrey D Thompson, MD
• Jonathan Thompson, PHARMD

• General Practice Dentistry in Medford, OR
• Providers in Medford, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.