Organization Active NPI

Thompson DDS PA

  • Dental Clinic/Center
  • Raeford, NC
National Provider Identifier
1437506946
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5462 Issued in NC
Legal business name
THOMPSON DDS PA
Practice address
114 Campus Ave
Raeford, NC 28376-2606
Phone
(910) 875-3622
Fax
(910) 875-0164
NPI assigned
May 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Authorized official

Name
Mark Stephen Thompson, DDSNPI 1508907627
Title
President
Phone
(910) 875-3622

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
Dental Clinic/Center 261QD0000X 5462 NC Primary

Addresses

Primary practice location

114 Campus Ave
Raeford, NC 28376-2606

Mailing address

114 Campus Ave
Raeford, NC 28376-2606
Phone (910) 875-3622

National Provider Directory

National Provider Directory

Locations

114 Campus Ave
Raeford, NC 28376
Phone (910) 875-3622

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1437506946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 CAMPUS AVE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283762606",
            "telephone_number": "910-875-3622",
            "fax_number": "910-875-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 CAMPUS AVE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283762606",
            "telephone_number": "910-875-3622",
            "fax_number": "910-875-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-875-3622",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "5462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raeford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.