NPIMap

Organization Active NPI

Kaleb C Thompson DMD PA III

Doing business as Dental Transformations

  • Dental Clinic/Center
  • Coinjock, NC
National Provider Identifier
1861094542
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KALEB C THOMPSON DMD PA III
Doing business as
Dental Transformations
Practice address
153 Worth Guard Rd
Coinjock, NC 27923-9766
Phone
(252) 335-4341
NPI assigned
Nov 9, 2020
Last updated
Nov 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Authorized official

Name
Kaleb ThompsonNPI 1710437322
Title
Owner
Phone
(252) 335-4341

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

153 Worth Guard Rd
Coinjock, NC 27923-9766

Mailing address

153 Worth Guard Rd
Coinjock, NC 27923-9766
Phone (252) 335-4341

Other identifiers 1

IdentifierTypeStateIssuer
1174594543MedicaidNC

Other names 1

  • Dental Transformations Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1861094542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 WORTH GUARD RD",
            "city": "COINJOCK",
            "state": "NC",
            "postal_code": "279239766",
            "telephone_number": "252-335-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 WORTH GUARD RD",
            "city": "COINJOCK",
            "state": "NC",
            "postal_code": "279239766",
            "telephone_number": "252-335-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALEB C THOMPSON DMD PA III",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KALEB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-335-4341"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174594543",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Transformations",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coinjock, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.