Active NPI
Dwight E Thompson, DDS
- General Practice Dentistry
- Chicago Heights, IL
National Provider Identifier
1659524320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019.027834
- Practice address
- 567 W. 14TH St.
Units D & E
Chicago Heights, IL 60411 - Phone
- (708) 283-9800
- NPI assigned
- Oct 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019.027834 | IL | Primary |
Addresses
Primary practice location
567 W. 14TH St.
Units D & E
Chicago Heights, IL 60411
Mailing address
430 W. Erie Street
Suite 200
Chicago, IL 60610
Phone (312) 274-0308
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 |
|---|---|---|---|
| 019.027834 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225152000000",
"number": "1659524320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 W. ERIE STREET",
"address_2": "SUITE 200",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60610",
"telephone_number": "312-274-0308",
"fax_number": "312-944-9499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "567 W. 14TH ST.",
"address_2": "UNITS D & E",
"city": "CHICAGO HEIGHTS",
"state": "IL",
"postal_code": "60411",
"telephone_number": "708-283-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "DWIGHT",
"middle_name": "E",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-28",
"last_updated": "2008-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019.027834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.