DR. KENNETH CLYDE THOMPSON (NPI# 1689697237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689697237 |
| Entity Type | Individual |
| Full Name | DR. KENNETH CLYDE THOMPSON |
| Credential | D.D.S. |
| Practice Address |
203 W 20th St Suite B Mount Pleasant TX 75455-1100 |
| Practice Telephone | 9035779900 |
| Practice Fax Number | 9035779901 |
| Mailing Telephone | 9035779900 |
| Mailing Fax Number | 9035779901 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
20214 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS BCBS ID NUMBER | 87D558 | 01 |
| TX | ALABAMA BCBS ID NUMBER | 90075488 | 01 |
| TX | DEA NUMBER | BT6962787 | 01 |
| TX | UNITED CONCORDIA ID | 1387039 | 01 |
| TX | LICENSE NUMBER | 20214 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376944322 | Kenneth Thompson | Clinic/Center | 708 Cortwright St, Pontiac, MI 48340-2302 | 2014-09-09 |
| 1306177357 | Kenneth Wilson Thompson Jr. | Dentist | 107 Brook Ave., South Hill, VA 23970 | 2010-01-14 |
| 1942373204 | Kenneth Joel Thompson | Nurse Anesthetist, Certified Registered | 336 Deerfield Road, Boone, NC 28607 | 2006-11-16 |
| 1689788598 | Kenneth D Thompson | Dentist | 4213 Dale Rd., Suite 5, Modesto, CA 95356 | 2006-08-18 |
| 1255365151 | Kenneth W Thompson | Internal Medicine | 17 Camp Road, Richard J Caron Foundation, Wernersville, PA 19565 | 2006-07-10 |
| 1194772517 | Kenneth George Thompson | Obstetrics & Gynecology | 15709 Shadow Mtn Dr, Edmond, OK 73013 | 2006-05-30 |
| 1235117789 | Kenneth L Thompson | Pharmacist | 2 N Main St, Kilmarnock, VA 22482-8501 | 2006-01-05 |
| 1114346905 | Kenneth Robert Thompson IIi | Emergency Medicine | 234 Goodman St, Center for Emergency Care, Cincinnati, OH 45219-2364 | 2014-04-09 |
| 1609112192 | Kenneth T Thompson | Physician Assistant | 2780 Tapo Canyon Rd, Suite A3, Simi Valley, CA 93063-6840 | 2013-01-02 |
| 1134450976 | Kenneth Lowell Thompson | Pharmacist | 17273 State Route 104, Chillicothe, OH 45601-9718 | 2010-01-19 |
| Street Address |
203 W 20TH ST SUITE B |
| City | MOUNT PLEASANT |
| State | TX |
| Zip Code | 75455-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093796658 | Paul O Meriwether | Family Medicine | 203 W 20th St, Mount Pleasant, TX 75455-1100 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801351242 | Dan P Mccauley Dds Pa | Dentist | 1603 North Jefferson Avenue, Mount Pleasant, TX 75455 | 2019-02-08 |
| 1427565282 | Thelma Louise Frazier | Registered Nurse | 2610 Greenhill Rd, Mount Pleasant, TX 75455 | 2018-01-02 |
| 1750812921 | Titus County Hospital District | Clinic/Center | 2015 Mulberry Ave Ste 260, Mount Pleasant, TX 75455 | 2017-03-21 |
| 1003367780 | Valerie Ann Snyder | Nurse Practitioner | 203 W 20th St Ste C, Mt Pleasant, TX 75455 | 2016-10-18 |
| 1417316803 | Gaurav Narang | Dentist | 1401 S. Jefferson Blvd., 4, Mount Pleasant, NV 75455 | 2016-02-15 |
| 1366828972 | The Lodge Assisted Living/memory Care | Assisted Living Facility | 1880 W 16th St, Mt Pleasant, TX 75455 | 2015-08-05 |
| 1740665413 | Megan Nye | Chiropractor | 1318 South Jefferson, Mount Pleasant, TX 75455 | 2015-07-23 |
| 1407277239 | Northeast Texas Community College Dental Hygiene Clinic | Dentist | 2886 Fm 1735, Chapel Hill Road, Mt. Pleasant, TX 75455 | 2013-12-20 |
| 1588917694 | Titus County Hospital District | Clinic/Center | 1610 S Jefferson Ave, Mount Pleasant, TX 75455 | 2012-10-26 |
| 1760792030 | Kay Madelon Harmon | Occupational Therapist | 2003 N. Edwards, Plesant Springs Healthcare Center, Mt. Plesant, TX 75455 | 2010-10-20 |
| Find all providers in zip 75455 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994196 | Sfd Mt. Pleasant LLC | Dentist | 3102 N Highway 17, Mount Pleasant, SC 29466-6925 | 2019-10-25 |
| 1588130942 | Dentistry for Children of South Carolina PC | Dentist | 1701 Beaucastel Rd Ste A, Mount Pleasant, SC 29464-3685 | 2018-10-23 |
| 1295242253 | Lowcountry Kids Pediatric Dentistry, LLC | Dentist | 652 Coleman Blvd Ste 100, Mount Pleasant, SC 29464-4061 | 2017-12-29 |
| 1265668248 | Krista Michelle Kunz | Dentist | 3070 N Highway 17 Ste 103, Mount Pleasant, SC 29466-9300 | 2009-06-04 |
| 1043339476 | Tender Care Pediatric Dentistry LLC | Dentist | 6583 Route 819 S, Suite1, Mount Pleasant, PA 15666-3503 | 2007-03-28 |
| 1104212372 | Rosaria Barnes | Dentist | 1701 Beaucastle Rd, Mount Pleasant, SC 29464-3685 | 2015-04-14 |
| 1942429931 | Beatriz De La Roche | Dentist | 6583 Route 819 S, Suite 1, Mount Pleasant, PA 15666-3503 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647454 | Memorial Dentistry for Kids Pllc | Dentist | 14090 Memorial Dr, Houston, TX 77079-6848 | 2020-10-20 |
| 1497362651 | Munal Dental Pllc | Dentist | 2921 N Fm 1417 Ste 100, Sherman, TX 75092-3559 | 2020-09-30 |
| 1467069880 | Unique Kids Pediatric Dentistry, Pllc | Dentist | 22118 Market Place Dr Ste 500, New Caney, TX 77357-2165 | 2020-09-29 |
| 1104438092 | Sarah Al Kukash | Dentist | 2536 Amherst St Ste A, Houston, TX 77005-3207 | 2020-08-20 |
| 1295344679 | Bulverde Dental Specialist Pllc | Dentist | 22103 Bulverde Rd Ste 108, San Antonio, TX 78259-1855 | 2020-07-30 |
| 1174132559 | Previcare, Pllc | Dentist | 2006 W Campbell Rd Ste 300, Garland, TX 75044-2315 | 2020-07-30 |
| 1386252088 | Saba Saleem Tareen | Dentist | 1503 Royal Ln, Colleyville, TX 76034-5585 | 2020-07-19 |
| 1306454178 | Susan Roberts Pediatric Dentistry Pllc | Dentist | 5411 Basswood Blvd Ste 201, Fort Worth, TX 76137-4479 | 2020-07-17 |
| 1316564990 | Ikids Pediatric Dentistry Lakewood, Pllc | Dentist | 2011 Abrams Parkway, Dallas, TX 75214 | 2020-06-30 |
| 1316563497 | Woodlands Pediatric Dentistry PC | Dentist | 4850 W Panther Creek Dr Ste 102, The Woodlands, TX 77381-3595 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT PLEASANT |
| Zip Code | 75455 |
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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.