Individual provider Active NPI

Colby Vinton Thomson

  • Dentist
  • Vestavia, AL
National Provider Identifier
1497048748
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D..5823-C1 Issued in AL
Practice address
1913 Laurel Rd
Vestavia, AL 35216-1834
Phone
(205) 823-1654
NPI assigned
May 19, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D..5823-C1 AL Primary

Addresses

Primary practice location

1913 Laurel Rd
Vestavia, AL 35216-1834

Mailing address

1913 Laurel Rd
Vestavia, AL 35216-1834
Phone (205) 823-1654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161115001975 AL Order and Referring Only - General PracticePractitioner - General Practice 3870872872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D..5823-C1ALMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Shaw &Thomson Dental Arts, P.C. Past Accepting new patients
Thomson Dental, P.C. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305763200000",
    "number": "1497048748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 LAUREL RD",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352161834",
            "telephone_number": "205-823-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 LAUREL RD",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352161834",
            "telephone_number": "205-823-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMSON",
        "first_name": "COLBY",
        "middle_name": "VINTON",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-19",
        "last_updated": "2011-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "D..5823-C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

Verify at the official NPI Registry.