J Terry Thompson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

357 Issued in AK

Practice address

602 Dock St
Ste 102
Ketchikan, AK 99901-6530

Phone

(907) 225-3031

Fax

(907) 225-3130

NPI assigned

Dec 13, 2006

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

Other names 1

• John Terrence Thompson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1457412397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 DOCK ST",
            "address_2": "STE 102",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999016530",
            "telephone_number": "907-225-3031",
            "fax_number": "907-225-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 DOCK ST",
            "address_2": "STE 102",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999016530",
            "telephone_number": "907-225-3031",
            "fax_number": "907-225-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "J",
        "middle_name": "TERRY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "THOMPSON",
            "middle_name": "TERRENCE",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Genevieve Thomas
• Gregory Thomas
• Kara E Thomas, LPC
• Laurie Anne Thomas, M.ED
• Brittany Thompson
• Paul Thompson
• Tandra Thompson
• Patricia Jane Thornton, CNM
• Cezanne Thorsen
• Jennifer K Thouvenel

• General Practice Dentistry in Ketchikan, AK
• Providers in Ketchikan, AK by specialty
• General Practice Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.