Jonathan Derell Thompson

Primary specialty

DentistTaxonomy code 122300000X

License

42176 Issued in TX

Practice address

2030 Heights Dr Ste 2
Harker Heights, TX 76548-2185

Phone

(254) 870-3221

NPI assigned

Mar 6, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Thompson Dental PLLC

  • General Practice Dentistry
  • Owatonna, MN
  • NPI 1275401986
  NPD

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1497455901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6780 FORTINO ST APT 206",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551246609",
            "telephone_number": "512-848-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 HEIGHTS DR STE 2",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765482185",
            "telephone_number": "254-870-3221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1119 W Frontage Rd",
            "address_purpose": "LOCATION",
            "city": "Owatonna",
            "state": "MN",
            "postal_code": "550605663",
            "country_code": "US",
            "telephone_number": "507-774-3075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JONATHAN",
        "middle_name": "DERELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-06",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "42176",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Thomas Jacob, M.D.
• Carolyn Felicia Thomas
• Gloria Thomas
• Harrison Scott Thomas, DPT
• Nicky Thomeczek
• Keith Thompson, MENTAL HEALTH
• Raeshetta N Thompson, HAIR REPLACEMENT
• Alexis Tidwell
• Joel Kirk Tidwell, D.D.S.
• Nicholas Tighe

• Dentist in Harker Heights, TX
• Providers in Harker Heights, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.