Active NPI
Vincent Thompson Jr.
- Homemaker
- Dallas, TX
National Provider Identifier
1750082699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- 019616
- Practice address
- 2775 Villa Creek Dr Ste 219
Dallas, TX 75234-7613 - Phone
- (972) 454-1938
- NPI assigned
- Mar 16, 2023
- Last updated
- Mar 17, 2023
- 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 |
|---|---|---|---|---|
| Homemaker | 376J00000X | 019616 | TX | Primary |
Addresses
Primary practice location
2775 Villa Creek Dr Ste 219
Dallas, TX 75234-7613
Mailing address
2775 Villa Creek Dr Ste 219
Dallas, TX 75234-7613
Phone (972) 454-1938
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 |
|---|---|---|---|
| 019616 | TX | MD | Homemaker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Shield Home Care, LLC | Current | Accepting new patients |
Locations
2775 Villa Creek Dr
Ste 219
Dallas, TX 75234
Phone (972) 454-1938
Organizations & group practices 1
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.
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- Allen, TX
- NPI 1528634029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679011200000",
"number": "1750082699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2775 VILLA CREEK DR STE 219",
"city": "DALLAS",
"state": "TX",
"postal_code": "752347613",
"telephone_number": "972-454-1938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2775 VILLA CREEK DR STE 219",
"city": "DALLAS",
"state": "TX",
"postal_code": "752347613",
"telephone_number": "972-454-1938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "VINCENT",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-16",
"last_updated": "2023-03-17",
"certification_date": "2023-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "TX",
"license": "019616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.