DR. KENNETH D THOMPSON (NPI# 1689788598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689788598 |
Entity Type | Individual |
Full Name | DR. KENNETH D THOMPSON |
Credential | D.D.S. |
Practice Address |
4213 Dale Rd. Suite 5 Modesto CA 95356 |
Mailing Address |
4213 Dale Rd Suite 5 Modesto CA 95356-8505 |
Practice Telephone | 2095454760 |
Practice Fax Number | 2095452166 |
Mailing Telephone | 2095454760 |
Mailing Fax Number | 2095452166 |
Enumeration Date | 2006-08-18 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
47812 | CA | Dental Providers |
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 |
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 |
1679715338 | Kenneth A Thompson | Counselor | 401 W International Airport Rd Ste 17, Anchorage, AK 99518-1168 | 2009-03-27 |
Street Address |
4213 DALE RD. SUITE 5 |
City | MODESTO |
State | CA |
Zip Code | 95356 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649809021 | Amelia E Delgadillo | Licensed Vocational Nurse | 501 Triangle Rd, Modesto, CA 95356 | 2020-04-07 |
1689220279 | Meagan Veneman | Physical Medicine & Rehabilitation | 125 Hogue Rd, Modesto, CA 95356 | 2019-08-10 |
1497131213 | Hermes Guardian Transport | Non-emergency Medical Transport (VAN) | 4221 Erin Way, Modesto, CA 95356 | 2015-08-04 |
1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
1922242866 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 500 Glass Ln Ste H, Modesto, CA 95356 | 2009-04-22 |
1659541647 | Ashley Allison Streeter | Dentist | 556 Lyell Dr, Modesto, CA 95356 | 2008-03-05 |
1265636013 | Margaret Kathleen Grisell | Orthopaedic Surgery | 4601 Dale Ave, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 | 2007-06-14 |
1841412111 | Bobby Gene Boswell | Specialist/Technologist | 3908 Vintage Cove, Modesto, CA 95356 | 2007-05-03 |
1598892861 | Merritt Radiological Medical Group Inc | Radiology | 526 Charity Way, Modesto, CA 95356 | 2007-02-27 |
1396871091 | Michael Steven Beck | Social Worker | 4640 Spyres Way, Building B, Suite 7, Modesto, CA 95356 | 2007-02-26 |
Find all providers in zip 95356 |
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 |
---|---|---|---|---|
1639658305 | Rigel Smart | Dentist | 103 Mchenry Ave, Modesto, CA 95354-0541 | 2018-08-13 |
1801373220 | Nan Xiang | Dentist | 2217 Coffee Rd # A, Modesto, CA 95355-2307 | 2018-07-27 |
1699261495 | Kwang Min Lim | Dentist | 1429 College Ave Ste D, Modesto, CA 95350-4046 | 2018-07-03 |
1558872077 | Franklin Cordero Dmd, Inc. | Dentist | 1207 14th St, Modesto, CA 95354-1005 | 2017-10-24 |
1083130538 | Misty Autumn Henne-bhullar | Dentist | 3219 Mchenry Ave, Modesto, CA 95350-1457 | 2017-08-16 |
1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
1811352404 | Chahal Dental Corporation | Dentist | 2217 Coffee Rd, Suite A, Modesto, CA 95355-2307 | 2015-12-23 |
1366839755 | Hillock Family Dental Inc. | Dentist | 1908 Coffee Rd. Bldg. 4, Modesto, CA 95355 | 2015-04-23 |
1548608425 | Ajaykumar N Patel | Dentist | 3430 Tully Rd Ste 21, Modesto, CA 95350-0840 | 2013-06-12 |
1992054308 | Satyen Desai Dental Corporation | Dentist | 1404 Mitchell Rd., Modesto, CA 95351-4948 | 2012-08-30 |
Find all providers in MODESTO |
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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.