Jeremy M Thompson DDS Ms PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

29857 Issued in TX

Legal business name

JEREMY M THOMPSON DDS MS PLLC

Practice address

103 Professional Park Driv
Victoria, TX 77904

Phone

(614) 893-0256

Fax

(915) 307-5172

NPI assigned

Nov 12, 2014

Last updated

Aug 9, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy M Thompson, DDSNPI 1972617769

Title

President

Phone

(614) 893-0256

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeremy Martin Thompson, DDS

  • Endodontics
  • San Antonio, TX
  • NPI 1972617769
  NPD (past) Authorized official

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1689070062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13003 VISTA HAVEN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78216",
            "telephone_number": "614-893-0256",
            "fax_number": "915-307-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PROFESSIONAL PARK DRIV",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "77904",
            "telephone_number": "614-893-0256",
            "fax_number": "915-307-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY M THOMPSON DDS MS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-893-0256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "29857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javier Vazquez Ortiz M.D., PLLC
• Jean Gisler (Crossroads Family Practice)
• Jean Gisler FNP PLLC
• Jennifer Bluntzer PLLC
• Minseob Jeong, MD
• John Henry White II, MD, P.a.
• John Lee McNeill, DO, PA
• John M. Bouras, MD, PA
• John Sheffel PLLC (The Corner Clinic)
• Elizabeth John, MD

• Dental Clinic/Center in Victoria, TX
• Providers in Victoria, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.