Jared Michael Thompson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8734 Issued in OR

Practice address

2031 Hawthorne St
Ste a
Forest Grove, OR 97116-1700

Phone

(503) 351-9043

NPI assigned

Aug 14, 2006

Last updated

Jul 8, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Thompson Mainstay LLC

  dba Green Tree Dental

  • Dental Clinic/Center
  • Tillamook, OR
  • NPI 1770399875
  NPD Authorized official
• Jared M. Thompson, DMD, LLC

  dba Pacific Oak Dental

  • General Practice Dentistry
  • Forest Grove, OR
  • NPI 1396014338
  NPD (past) Authorized official
• Thompson Mainstay II LLC

  • Dental Clinic/Center
  • Portland, OR
  • NPI 1497675185
  NPD (past) Authorized official

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649283235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 HAWTHORNE ST",
            "address_2": "STE A",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971161700",
            "telephone_number": "503-351-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 HAWTHORNE ST",
            "address_2": "STE A",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971161700",
            "telephone_number": "503-351-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JARED",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "8734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Wellness Group, LLC
• Therapeutic Associates Inc (TAI Forest Grove Physical Therapy)
• Sheridan Thiringer, D.O.
• Alexandra Kristine Thomas, DPT
• Jennifer Thomas
• Amy Laraine Thomsen
• Vaughn G Tidwell, D.M.D.
• Emily Tilden
• Timothy J Gray DO LLC (Mountain View Medical Center)
• Melody Grace Tong

• General Practice Dentistry in Forest Grove, OR
• Providers in Forest Grove, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.