Active NPI
Jennifer L Thompson, D.D.S.
- Dentist
- Farmington, NM
National Provider Identifier
1497991863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DD3082
- Practice address
- 1212 E 20TH St
Farmington, NM 87401-4215 - Phone
- (505) 327-6233
- Fax
- (505) 324-6442
- NPI assigned
- Jan 6, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DD3082 | NM | Primary |
| General Practice Dentistry | 1223G0001X | DD3082 | NM |
Addresses
Primary practice location
1212 E 20TH St
Farmington, NM 87401-4215
Mailing address
1212 E 20TH St
Farmington, NM 87401-4215
Phone (505) 327-6233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DD3082 | NM | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231200000000",
"number": "1497991863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 E 20TH ST",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874014215",
"telephone_number": "505-327-6233",
"fax_number": "505-324-6442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 E 20TH ST",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874014215",
"telephone_number": "505-327-6233",
"fax_number": "505-324-6442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "JENNIFER",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-06",
"last_updated": "2009-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NM",
"license": "DD3082",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NM",
"license": "DD3082",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.