Benjamin Thompson

Primary specialty

DentistTaxonomy code 122300000X

License

9602 Issued in KY

Practice address

312 Wyatt Dr
Mayfield, KY 42066-6810

Phone

(270) 247-1966

Fax

(270) 247-5471

NPI assigned

Aug 5, 2015

Sex

Male

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

Enrolled in KY

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

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.

• Freeman Dental

  • Dentist
  • Mayfield, KY
  • NPI 1265803886
  NPD (past)
• Freeman Dental PLLC

  • Dentist
  • Mayfield, KY
  • NPI 1437535119
  NPD (past)

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1962888552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 WYATT DR",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420666810",
            "telephone_number": "270-247-1966",
            "fax_number": "270-247-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 WYATT DR",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420666810",
            "telephone_number": "270-247-1966",
            "fax_number": "270-247-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kori Dawn Taylor, PTA
• Zakari Miller Taylor, D.M.D.
• Team Health USA, LLC
• Tender Loving Care of Yah Inc
• Martha A Thomas
• Moris Ann Thompson, PTA
• Mykel Linn Tidwell, PHARMD
• Anita Torok, MD
• Leslie Travis, RN
• Tracy Lyn Travis

• All providers in Mayfield, KY
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.