Marla Jean Thompson, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

3964 Issued in WV

Practice address

1191 Worthington Dr
Bridgeport, WV 26330-1285

Phone

(412) 442-7214

Fax

(412) 443-7214

NPI assigned

Jun 18, 2008

Last updated

May 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Sep 21, 2015 through Sep 21, 2027

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Rita Bobb-Rollins, DDS, LTD.

  • Dentist
  • Bridgeport, WV
  • NPI 1891092276
  NPD (past)

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1962663336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 WORTHINGTON DR",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301285",
            "telephone_number": "412-442-7214",
            "fax_number": "412-443-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 WORTHINGTON DR",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301285",
            "telephone_number": "412-442-7214",
            "fax_number": "412-443-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MARLA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "3964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TG Medina Inc.
• Joslyn Mary Thattil
• The Urology Center, PLLC
• Zachariah Marion Thomas, MD
• Andrew Thompson, D.M.D., M.D.S
• Timothy Thompson
• Cassidy Brooke Tolley, LGSW
• William J. Tomasik, O.D.
• Lauren J Tomes, DO
• Maclay Toomey

• Dentist in Bridgeport, WV
• Providers in Bridgeport, WV by specialty
• Dentist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.