Active NPI
Kevin Parker Thompson, DO
- Student in an Organized Health Care Education/Training Program
- Temple, TX
National Provider Identifier
1003494592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2401 S 31St St # 9C513C
Temple, TX 76508-0001 - Phone
- (754) 724-0108
- Fax
- (754) 724-8067
- NPI assigned
- Mar 29, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
2401 S 31St St # 9C513C
Temple, TX 76508-0001
Mailing address
2401 S 31St St # 9C513C
Temple, TX 76508-0001
Phone (754) 724-0108
Other practice location 1
4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-3555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240627002549 | TX | Order and Referring Only - Cardiovascular Disease (Cardiology) | 0042754350 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1003494592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 S 31ST ST # 9C513C",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765080001",
"telephone_number": "754-724-0108",
"fax_number": "754-724-8067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 S 31ST ST # 9C513C",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765080001",
"telephone_number": "754-724-0108",
"fax_number": "754-724-8067"
}
],
"practiceLocations": [
{
"address_1": "4502 Medical Dr",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782294402",
"country_code": "US",
"telephone_number": "210-358-3555",
"fax_number": "210-702-4239",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "KEVIN",
"middle_name": "PARKER",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-29",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.