Individual provider Active NPI

Paul Christopher Tompach, D.D.S., PH.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Minneapolis, MN
National Provider Identifier
1699745323
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D11128 Issued in MN
Practice address
515 Delaware Street SE
7-174 Moos Health Sciences Tower
Minneapolis, MN 55455
Phone
(612) 301-2233
Fax
(612) 625-2669
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X D11128 MN
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D11128 MN Primary

Addresses

Primary practice location

515 Delaware Street SE
7-174 Moos Health Sciences Tower
Minneapolis, MN 55455

Mailing address

515 Delaware Street SE
7-174 Moos Health Sciences Tower
Minneapolis, MN 55455
Phone (612) 301-2233

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
D11128MNMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Oral & Maxillofacial Surgery, P.a. Oral and Maxillofacial Surgery Past Accepting new patients
Minnesota Oral & Maxillofacial Surgery, P.a. Oral and Maxillofacial Surgery PastSince Apr 30, 2003 Accepting new patients
Metropolitan Oral and Maxillofacial Surgeons PA Oral and Maxillofacial Surgery Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1699745323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 DELAWARE STREET SE",
            "address_2": "7-174 MOOS HEALTH SCIENCES TOWER",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55455",
            "telephone_number": "612-301-2233",
            "fax_number": "612-625-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 DELAWARE STREET SE",
            "address_2": "7-174 MOOS HEALTH SCIENCES TOWER",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55455",
            "telephone_number": "612-301-2233",
            "fax_number": "612-625-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMPACH",
        "first_name": "PAUL",
        "middle_name": "CHRISTOPHER",
        "credential": "D.D.S., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MN",
            "license": "D11128",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MN",
            "license": "D11128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.