Damon Bennett Thompson, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

401008616 Issued in VA

Practice address

250 South Main Street, Suite 212
Blacksburg, VA 24060

Phone

(540) 552-5433

Fax

(540) 552-2273

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Damon B Thompson DDS PC

  • Dentist
  • Blacksburg, VA
  • NPI 1336461094
  NPD Authorized official
• Real Life Dental of Christiansburg, PLLC

  • General Practice Dentistry
  • Christiansburg, VA
  • NPI 1285457879
  NPD (past) Authorized official
• Real Life Seventeen

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Blacksburg, VA
  • NPI 1831680172
  NPD (past) Authorized official

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1811071871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 SOUTH MAIN STREET, SUITE 212",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "24060",
            "telephone_number": "540-552-5433",
            "fax_number": "540-552-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 SOUTH MAIN STREET, SUITE 212",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "24060",
            "telephone_number": "540-552-5433",
            "fax_number": "540-552-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "DAMON",
        "middle_name": "BENNETT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "041008616",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "401008616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9178608",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Hearing Clinic
• Christopher Joseph Thomas
• Nadine Tracy Ann Thompson-Carlton, M.D.
• Chad Randal Thompson, MD
• Christel Thompson, M.A., CCC/SLP
• Daniel E Thompson, DDS
• Morgan Thomson
• Maria Petronila Tibung, PT, DPT
• Tidewater Physical Therapy, LLC
• Hannah Tiller, BCBA, LBA

• Dentist in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.