RICKEY SHANE THOMPSON


Address: Us Hwy 491 North, Shiprock, NM 67420
Phone: 5053686401

RICKEY SHANE THOMPSON (NPI# 1184613945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184613945
Entity Type Individual
Full Name RICKEY SHANE THOMPSON
Credential DDS
Practice Address Us Hwy 491 North
Shiprock
NM 67420
Mailing Address Po Box 160
Shiprock
NM 87420-0160
Practice Telephone 5053686401
Practice Fax Number 5053686431
Mailing Telephone 5053686401
Mailing Fax Number 5053686431
Enumeration Date 2005-10-14
Last Update Date 2007-09-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
15951 TX Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM 31847820 05
CO 02159515 05
AZ 689896 05

Office Location

Street Address US HWY 491 NORTH
City SHIPROCK
State NM
Zip Code 67420

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285636191 Jason Boyd Girouard Nurse Anesthetist, Certified Registered Us Hwy 491 North, Shiprock, NM 87420 2005-08-10
1215550843 Kaitlin A Philipsen Optometrist Us Hwy 491 North, Shiprock, NM 87420 2020-05-18
1417517533 Ethan Fahrney Occupational Therapist Us Hwy 491 North, Shiprock, NM 87420 2019-06-20
1124687884 Kia Yang Optometrist Us Hwy 491 North, Shiprock, NM 87420 2019-06-06
1700346095 Laura Bodnar Pharmacist Us Hwy 491 North, Shiprock, NM 87420 2019-03-22
1275006116 Billie Don Evans IIi Pharmacist Us Hwy 491 North, Shiprock, NM 87420 2019-01-03
1093287609 Ivan Teodoro Chia Registered Nurse Us Hwy 491 North, Shiprock, NM 87420-0160 2018-12-20
1467944041 Elysia Ison Optometrist Us Hwy 491 North, Shiprock, NM 87420 2018-05-31
1407343809 Pamela Bryan Social Worker Us Hwy 491 North, Shiprock, NM 87420 2018-04-20
1164919304 Jerren Michael Alcalde Dentist Us Hwy 491 North, Shiprock, NM 87420 2018-04-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952587123 Deidra Kay Burks Occupational Therapist 815 N Independence, Beloit, KS 67420 2008-01-17
1861675514 Kimberlee Joy Budke Occupational Therapist 815 North Independence, Beloit, KS 67420 2007-12-17
1902092000 Mod Solution LLC Occupational Therapist 605 North Hersey, Beloit, KS 67420 2007-09-21
1164554408 Cathleen Joyce Kelly Occupational Therapist 120 N Lincoln Ave, Beloit, KS 67420 2007-03-12
1215066360 Mitchell County Hospital Health Systems Custodial Care Facility 400 West 8th St, Beloit, KS 67420 2007-03-05
1982777421 Jerome M Carrico Family Medicine 120 N Mill, Beloit, KS 67420 2006-11-15
1700972882 Robert A. Miller Nurse Anesthetist, Certified Registered 400 W 8th, Beloit, KS 67420 2006-10-05
1629007877 Mark W Rothfuss Counselor 207 N Mill St Ste 5, Beloit, KS 67420 2006-07-01
1023086998 County of Mitchell Ambulance 1906 Highway 14, Beloit, KS 67420 2006-03-08
1811288160 Mark Edward Banker Surgery 400 West 8th Street, Beloit, KS 67420 2011-04-20
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295890416 Nizhoni Smiles, Inc. Dentist N Hwy 491, Shiprock, NM 87420-3449 2006-12-27
1306391156 Jarom Michael Decker Dentist Us Hwy 491 North, Shiprock, NM 87420 2016-08-22
1356705909 Cam-van Huynh Dentist Us Hwy 491 North, Shiprock, NM 87420 2016-04-10
1255627329 Brandon James Washington Dentist Us Hwy 491 North, Shiprock, NM 87420 2011-06-27
1851547012 Paul Edward Schoenbaum Dentist Us Hwy 491 North, Shiprock, NM 87420 2008-08-07
1831187558 Mrinmayee Nath Dentist Us Highway 491 North, Shiprock, NM 87420 2005-10-06
1336132984 James Joseph Dibelka Jr. Dentist Us Hwy 491 North, Shiprock, NM 87420 2005-08-30
1790777068 Cecil Craig Layton Dentist Us Highway 491 North, Shiprock, NM 87420 2005-08-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841803830 Tri Dental, LLC Dentist 3715 Las Estancias Ct Sw Ste 101, Albuquerque, NM 87121-5506 2020-08-28
1609485077 Joseph Potter Dentist 3510 Coors Blvd Sw, Albuquerque, NM 87121-5328 2020-07-30
1760090880 Elizabeth Hays Dentist 1405 S Valley Dr Ste 300, Las Cruces, NM 88005-3132 2020-07-15
1861024861 Brian K Dennis Dds PC Dentist 8400 Osuna Rd Ne Ste 6a, Albuquerque, NM 87111-2073 2020-02-07
1285264242 Professional Dental Care Pllc Dentist 550 Saint Michaels Dr Ste 2, Santa Fe, NM 87505-7604 2020-01-18
1134769235 Abq Dentists PC Dentist 3900 Eubank Blvd Ne Ste 14, Albuquerque, NM 87111-3427 2020-01-07
1477197804 Juan Tabo Dentistry LLC Dentist 1924 Juan Tabo Blvd Ne Ste C, Albuquerque, NM 87112-3358 2019-10-29
1013550094 Bosque Smiles Dentistry, LLC Dentist 5600 Coors Blvd Nw Ste G4, Albuquerque, NM 87120-1877 2019-10-23
1336796473 Salud Dental Group Chaparral Dentist 320 Mccombs Rd Ste E, Chaparral, NM 88081-7937 2019-08-22
1639725732 John Jerome Fagel Dentist 07 Choos Gai Dr, Tohatchi, NM 87325 2019-08-14
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Competitor

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City SHIPROCK
Zip Code 67420

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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