R Scott Thompson, DDS, PA

Primary specialty

DentistTaxonomy code 122300000X

License

DN11717 Issued in FL

Legal business name

R SCOTT THOMPSON, DDS, PA

Practice address

1314 E Venice Ave Ste F
Venice, FL 34285-7160

Phone

(941) 488-7910

Fax

(941) 480-0839

NPI assigned

Jan 6, 2017

Organization subpart

No

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

Authorized official

Name

R Scott Thompson, D.D.S.

Title

President

Phone

(941) 488-7910

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1427594076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 E VENICE AVE STE F",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342857160",
            "telephone_number": "941-488-7910",
            "fax_number": "941-480-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 E VENICE AVE STE F",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342857160",
            "telephone_number": "941-488-7910",
            "fax_number": "941-480-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R SCOTT THOMPSON, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-488-7910",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN11717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CCN",
            "identifier": "511613837863",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Venice, FL
• Providers in Venice, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.