Organization Active NPI

Michael L. Thompson, Ms, DDS, PLLC

  • Periodontics
  • Jonesboro, AR
National Provider Identifier
1457667115
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
2828 Issued in AR
Legal business name
MICHAEL L. THOMPSON, MS, DDS, PLLC
Practice address
2737 Paula Dr
Jonesboro, AR 72404-8017
Phone
(870) 932-0015
Fax
(870) 932-0015
NPI assigned
Aug 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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

Authorized official

Name
Dr. Michael L. Thompson, MS, DDS, PLLCNPI 1780772962
Title
Owner
Phone
(870) 932-0015

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
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 2828 AR Primary

Addresses

Primary practice location

2737 Paula Dr
Jonesboro, AR 72404-8017

Mailing address

2737 Paula Dr
Jonesboro, AR 72404-8017
Phone (870) 932-0015

National Provider Directory

National Provider Directory

Locations

2737 Paula Dr
Jonesboro, AR 72404
Phone (870) 932-0015

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1457667115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 PAULA DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724048017",
            "telephone_number": "870-932-0015",
            "fax_number": "870-932-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 PAULA DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724048017",
            "telephone_number": "870-932-0015",
            "fax_number": "870-932-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L. THOMPSON, MS, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2011-07-29",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-932-0015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MS, DDS, PLLC"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "AR",
            "license": "2828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

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