Organization Active NPI

Thompson and Moore, D.D.S., P.C.

  • General Practice Dentistry
  • Saint Charles, MO
National Provider Identifier
1700188703
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
013954 Issued in MO
Legal business name
THOMPSON AND MOORE, D.D.S., P.C.
Practice address
1319 Caulks Hill Rd
Saint Charles, MO 63304-6863
Phone
(636) 441-3430
Fax
(636) 441-5987
NPI assigned
Nov 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Authorized official

Name
Dr. Robert Weldon Thompson, D.D.S.
Title
Tres/Sec
Phone
(636) 441-3430

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 013916 MO
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 013954 MO Primary

Addresses

Primary practice location

1319 Caulks Hill Rd
Saint Charles, MO 63304-6863

Mailing address

1319 Caulks Hill Rd
Saint Charles, MO 63304-6863
Phone (636) 441-3430

Other names 1

  • Caulks Hill Dental Other name

National Provider Directory

National Provider Directory

Locations

1319 Caulks Hill Rd
Saint Charles, MO 63304
Phone (636) 441-3430

Practitioners & affiliated clinicians

Practitioners 5

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": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1700188703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 CAULKS HILL RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633046863",
            "telephone_number": "636-441-3430",
            "fax_number": "636-441-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 CAULKS HILL RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633046863",
            "telephone_number": "636-441-3430",
            "fax_number": "636-441-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON AND MOORE, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-23",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WELDON",
        "authorized_official_title_or_position": "TRES/SEC",
        "authorized_official_telephone_number": "636-441-3430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "013916",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "013954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caulks Hill Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.