Individual provider Active NPI

Kathryn Elizabeth Thompson, DDS

  • Pediatric Dentistry
  • Sartell, MN
National Provider Identifier
1013321017
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D13426 Issued in MN
Practice address
140 Twin Rivers CT
Sartell, MN 56377-2015
Phone
(320) 257-3380
Fax
(320) 257-3382
NPI assigned
Jun 17, 2014
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7144 NE
Pediatric Dentistry 1223P0221X D13426 MN Primary

Addresses

Primary practice location

140 Twin Rivers CT
Sartell, MN 56377-2015

Mailing address

140 Twin Rivers CT
Sartell, MN 56377-2015
Phone (320) 257-3380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160406002254 MN Order and Referring Only - Pediatric DentistryPractitioner - Oral SurgeryPractitioner - Pediatric Dentistry 7719285899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7144NEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dentistry for Children, P.a. Pediatric Dentistry Past Accepting new patients
Twin Anesthesia LLC Past Accepting new patients
Modern Dental Professionals Minnesota PC General Practice Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1013321017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 TWIN RIVERS CT",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772015",
            "telephone_number": "320-257-3380",
            "fax_number": "320-257-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 TWIN RIVERS CT",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772015",
            "telephone_number": "320-257-3380",
            "fax_number": "320-257-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7144",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MN",
            "license": "D13426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

Verify at the official NPI Registry.