Kaleb C Thompson DMD PA V

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KALEB C THOMPSON DMD PA V

Doing business as

Dental Transformations-Hertford

Practice address

212 Ainsley Ave
Hertford, NC 27944-1400

Phone

(252) 335-4341

NPI assigned

Feb 21, 2024

Last updated

Feb 28, 2024By 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

Kaleb C Thompson, DMDNPI 1710437322

Title

Owner

Phone

(248) 513-0259

Specialties & licenses 2

Addresses

Other names 1

• Dental Transformations-Hertford Doing business as

Locations

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.

• Kaleb Thompson, D.M.D.

  • Dentist
  • Elizabeth City, NC
  • NPI 1710437322
  Authorized official Same address or phone

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1760247480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E COLONIAL AVE",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094363",
            "telephone_number": "252-335-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 AINSLEY AVE",
            "city": "HERTFORD",
            "state": "NC",
            "postal_code": "279441400",
            "telephone_number": "252-335-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALEB C THOMPSON DMD PA V",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KALEB",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-513-0259",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Transformations-Hertford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Hertford, NC
• Providers in Hertford, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.