Active NPI
Geffrey W. Thompson
- General Practice Dentistry
- Coeur D Alene, ID
National Provider Identifier
1992970503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D-1655
- Legal business name
- GEFFREY W. THOMPSON
- Practice address
- 1322 W Kathleen Ave
Coeur D Alene, ID 83815-7365 - Phone
- (208) 667-7461
- Fax
- (208) 765-5753
- NPI assigned
- Apr 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Geffrey W. Thompson, D.M.D.
- Title
- Owner
- Phone
- (208) 667-7461
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D-1655 | ID | Primary |
Addresses
Primary practice location
1322 W Kathleen Ave
Coeur D Alene, ID 83815-7365
Mailing address
1322 W Kathleen Ave
Coeur D Alene, ID 83815-7365
Phone (208) 667-7461
Other names 1
- Coeur d'Alene Dental Center
National Provider Directory
National Provider DirectoryLocations
1322 W Kathleen Ave
Coeur D Alene, ID 83815
Phone (208) 667-7461
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Coeur D Alene, ID
- NPI 1366453565
General Practice
-
- General Practice Dentistry
- Coeur D Alene, ID
- NPI 1790949444
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216166400000",
"number": "1992970503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1322 W KATHLEEN AVE",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838157365",
"telephone_number": "208-667-7461",
"fax_number": "208-765-5753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1322 W KATHLEEN AVE",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838157365",
"telephone_number": "208-667-7461",
"fax_number": "208-765-5753"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEFFREY W. THOMPSON",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-24",
"last_updated": "2008-07-16",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "GEFFREY",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-667-7461",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "ID",
"license": "D-1655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Coeur d'Alene Dental Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.