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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
15951 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 31847820 | 05 | |
| CO | 02159515 | 05 | |
| AZ | 689896 | 05 |
| Street Address |
US HWY 491 NORTH |
| City | SHIPROCK |
| State | NM |
| Zip Code | 67420 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 67420 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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 |
| 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 |
| 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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| 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.