Jimmy Glynn Tompkins, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8861 Issued in TX

Practice address

132 S Horace Ave
Tyler, TX 75702-6159

Phone

(903) 526-4900

Fax

(903) 526-4907

NPI assigned

Jun 1, 2007

Last updated

Aug 15, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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.

• Northeast Texas Public Health District

  • State or Local Public Health Clinic/Center
  • Tyler, TX
  • NPI 1679150445
  NPD (past)
• Northeast Texas Public Health District

  • State or Local Public Health Clinic/Center
  • Tyler, TX
  • NPI 1699745208
  NPD (past)

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1457553596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2039",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757102039",
            "telephone_number": "903-535-0023",
            "fax_number": "903-535-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 S HORACE AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757026159",
            "telephone_number": "903-526-4900",
            "fax_number": "903-526-4907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMPKINS",
        "first_name": "JIMMY",
        "middle_name": "GLYNN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "8861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "0008861",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Tollefson
• Thaddeus Rex Tolleson, MD
• Tom Lorren III PC (Test Center)
• Leah Rae Tomez
• Ashley Lyn Tomlin, NP
• Robert B Tompkins, MD
• James Dan Toney, MD
• Russell Todd Topham, MD
• Raymond Toro, PTA
• Raul Alexis Torres Heisecke, M.D.

• General Practice Dentistry in Tyler, TX
• Providers in Tyler, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.