Organization Active NPI

Shelton-Thompson-Von Sick, PLC

  • General Practice Dentistry
  • New Port Richey, FL
National Provider Identifier
1760637714
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 7336 Issued in FL
Legal business name
SHELTON-THOMPSON-VON SICK, PLC
Practice address
5636 Grand Blvd
New Port Richey, FL 34652-3875
Phone
(727) 847-5360
Fax
(727) 842-2474
NPI assigned
Nov 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Authorized official

Name
Dr. David W Thompson, DMD
Title
Sec/Tres
Phone
(727) 847-5360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN 7336 FL Primary

Addresses

Primary practice location

5636 Grand Blvd
New Port Richey, FL 34652-3875

Mailing address

5636 Grand Blvd
New Port Richey, FL 34652-3875
Phone (727) 847-5360

Other names 1

  • Dr.'s Shelton,Thompson, & VonSick, PA Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1760637714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5636 GRAND BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346523875",
            "telephone_number": "727-847-5360",
            "fax_number": "727-842-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5636 GRAND BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346523875",
            "telephone_number": "727-847-5360",
            "fax_number": "727-842-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTON-THOMPSON-VON SICK, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SEC/TRES",
        "authorized_official_telephone_number": "727-847-5360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 7336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr.'s Shelton,Thompson, & VonSick, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.