Individual provider Active NPI

Benjamin A Thompson, DDS

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1861429466
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7814 Issued in NC
Practice address
7930 Skyland Ridge Pkwy Ste 202
Raleigh, NC 27617-6815
Phone
(919) 484-2617
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7814 NC Primary

Addresses

Primary practice location

7930 Skyland Ridge Pkwy Ste 202
Raleigh, NC 27617-6815

Mailing address

7930 Skyland Ridge Pkwy Ste 202
Raleigh, NC 27617-6815
Phone (919) 484-2617

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20151215002922 NC Order and Referring Only - DentistPractitioner - Dentist 3173824125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thompson and Thompson, DDS, PA General Practice CurrentSince Aug 9, 2020 Accepting new patients

Locations

10251 Little Brier Creek Ln
Ste 101
Raleigh, NC 27617
Phone (919) 266-5332

7930 Skyland Ridge Pkwy
Ste 202
Raleigh, NC 27617
Phone (919) 484-2617

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1861429466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7930 SKYLAND RIDGE PKWY STE 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276176815",
            "telephone_number": "919-484-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7930 SKYLAND RIDGE PKWY STE 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276176815",
            "telephone_number": "919-484-2617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "BENJAMIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.