Tye Alan Thompson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29882 Issued in TX

Practice address

1411 W Wall St
Midland, TX 79701-6523

Phone

(432) 687-0629

Fax

(432) 687-3212

NPI assigned

Apr 16, 2009

Last updated

Aug 27, 2014By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Sep 23, 2015 through Sep 23, 2027

Medicare enrollment (NPD)

Not 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.

• Permian Basin Dental Center

  dba DBA Tye A. Thompson, DDS, AFAAID

  • General Practice Dentistry
  • Midland, TX
  • NPI 1952786402
  NPD (past) Authorized official

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1528201787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 W WALL ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016523",
            "telephone_number": "432-687-0629",
            "fax_number": "432-687-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 W WALL ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016523",
            "telephone_number": "432-687-0629",
            "fax_number": "432-687-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TYE",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-16",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D7659",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FT1127807",
            "identifier": "29882",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thompson Speech Therapy PLLC
• Kahrena J Thompson
• Kristin Haley Thompson
• Nathan Alexander Thompson, PA-S
• Riley Crista Thompson
• Thrive Integrative Health and Aesthetics
• Josiah B Tilton IV, M.D.
• Tiny Table Talk Speech and Feeding Therapy PLLC
• Janey Tippett, LCDC
• April Mae Malon Tiu, DPT

• General Practice Dentistry in Midland, TX
• Providers in Midland, 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 27, 2014; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.