NPIMap

Organization Active NPI

Permian Basin Dental Center

Doing business as DBA Tye A. Thompson, DDS, AFAAID

  • General Practice Dentistry
  • Midland, TX
National Provider Identifier
1952786402
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29882 Issued in TX
Legal business name
PERMIAN BASIN DENTAL CENTER
Doing business as
DBA Tye A. Thompson, DDS, AFAAID
Practice address
1411 W Wall St
Midland, TX 79701-6523
Phone
(432) 687-0629
Fax
(432) 687-3212
NPI assigned
Jul 27, 2015
Last updated
Jul 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Authorized official

Name
Tye Alan Thompson, DDSNPI 1528201787
Title
Owner
Phone
(432) 687-0629

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 29882 TX Primary

Addresses

Primary practice location

1411 W Wall St
Midland, TX 79701-6523

Mailing address

1411 W Wall St
Midland, TX 79701-6523
Phone (432) 687-0629

Other names 1

  • DBA Tye A. Thompson, DDS, AFAAID Doing business as

National Provider Directory

National Provider Directory

Locations

1411 W Wall St
Midland, TX 79701
Phone (432) 687-0629

Practitioners & affiliated clinicians

Practitioners 2

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": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1952786402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 W WALL ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016523",
            "telephone_number": "432-687-0629",
            "fax_number": "432-687-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 W WALL ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016523",
            "telephone_number": "432-687-0629",
            "fax_number": "432-687-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERMIAN BASIN DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TYE",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-687-0629",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Tye A. Thompson, DDS, AFAAID",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.