Frederick H Thompson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS3806 Issued in TN

Practice address

4109 Mountain View Ave
Suite 300
Chattanooga, TN 37415-2096

Phone

(423) 875-5661

Fax

(423) 875-5881

NPI assigned

Aug 29, 2012

Last updated

Aug 29, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not 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.

• Legacy Dental Group, PLLC

  dba Dr. Andrew Lunn, DDS

  • General Practice Dentistry
  • Hixson, TN
  • NPI 1487432811
  NPD (past)

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1447508098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 MOUNTAIN VIEW AVE",
            "address_2": "SUITE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374152096",
            "telephone_number": "423-875-5661",
            "fax_number": "423-875-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 MOUNTAIN VIEW AVE",
            "address_2": "SUITE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374152096",
            "telephone_number": "423-875-5661",
            "fax_number": "423-875-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "FREDERICK",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS3806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barrett Thompson, MD
• Bruce T Thompson, M.D.
• Candice F. Thompson, CRNA
• Deborah J. Thompson, RN, CNM
• Drew Thompson, NP-C
• Gena L Thompson, PA-C
• Jackie M Thompson, BSN, RN
• James Clay Thompson Jr., DDS
• Jeana Arbutus Thompson
• Jordan Thompson

• General Practice Dentistry in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.