NPIMap

Organization Active NPI

J.Michael Hatchett, DDS, PC Mark Allan Thompson, DDS, PC

  • Dentist
  • Jacksonville, TX
National Provider Identifier
1679855852
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12843 Issued in TX
Legal business name
J.MICHAEL HATCHETT, DDS, PC MARK ALLAN THOMPSON, DDS, PC
Practice address
408 Wynn Dr
Jacksonville, TX 75766-4976
Phone
(903) 586-6829
Fax
(903) 589-6801
NPI assigned
Sep 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Authorized official

Name
Dr. Mark Allan ThompsonNPI 1881776912
Title
Owner
Phone
(903) 586-6829

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 12843 TX Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 12913 TX

Addresses

Primary practice location

408 Wynn Dr
Jacksonville, TX 75766-4976

Mailing address

408 Wynn Dr
Jacksonville, TX 75766-4976
Phone (903) 586-6829

Other identifiers 4

IdentifierTypeStateIssuer
1457458960OtherTXINDIVIDUAL NPI
008650601MedicaidTX
008274501MedicaidTX
1881776912OtherTXINDIVIDUAL NPI

National Provider Directory

National Provider Directory
Tax ID family
Hatchett and Thompson DDS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1679855852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 WYNN DR",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757664976",
            "telephone_number": "903-586-6829",
            "fax_number": "903-589-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 WYNN DR",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757664976",
            "telephone_number": "903-586-6829",
            "fax_number": "903-589-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.MICHAEL HATCHETT, DDS, PC MARK ALLAN THOMPSON, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-14",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-586-6829",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "12843",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "12913",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1457458960",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008650601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008274501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1881776912",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.