Active NPI
Kaleb Thompson, D.M.D.
- Dentist
- Elizabeth City, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10455
- Practice address
- 408 E Colonial Ave
Elizabeth City, NC 27909-4363 - Phone
- (252) 335-4341
- NPI assigned
- Oct 6, 2016
- Last updated
- Oct 6, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 10455 | NC | Primary |
Addresses
Primary practice location
408 E Colonial Ave
Elizabeth City, NC 27909-4363
Mailing address
125 Tulip Tree Dr
Camden, NC 27921-8330
Phone (801) 636-6571
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 |
|---|---|---|---|
| 10455 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Transformations LLC | Current | Accepting new patients | |
| DRKT-American Forks LLC | Past | Accepting new patients |
Locations
408 E Colonial Ave
Elizabeth City, NC 27909
Phone (252) 335-4341
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Dental Transformation
- Dental Clinic/Center
- West Valley, UT
- NPI 1568189702
-
dba Dental Transformations
- Dental Clinic/Center
- Coinjock, NC
- NPI 1861094542
-
dba Dental Transformations-Hertford
- General Practice Dentistry
- Hertford, NC
- NPI 1760247480
-
dba Dental Transformations Leland
- General Practice Dentistry
- Leland, NC
- NPI 1114782836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475712000000",
"number": "1710437322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 TULIP TREE DR",
"city": "CAMDEN",
"state": "NC",
"postal_code": "279218330",
"telephone_number": "801-636-6571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 E COLONIAL AVE",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279094363",
"telephone_number": "252-335-4341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "KALEB",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-06",
"last_updated": "2016-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "10455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabeth City, NC
- Thomas M Waite LCSW
- Elizabeth Marie Thomas, MA, LCMHC
- Macie Thomas, LCSWA
- Thompson & Gray, DDS, PA (Dental Transformations)
- Alfred Hunter Thompson, M.D.
- Dwayne Thwaites, MD
- Meghan Tice, PHARMD
- Tidal Smiles Pediatric Dentistry PLLC (D. Luke Winter DDS PLLC)
- Tidewater Radiation Services, LLC
- Janice Kay Todd, N.P.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.