Kelsey M Thompson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10127 Issued in TN

Practice address

500 Johnson Dr
MC Gregor, TX 76657-1441

Phone

(254) 313-5200

Fax

(254) 313-5299

NPI assigned

Jul 21, 2015

Last updated

May 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Heart of Texas Community Health Center Inc

  dba Waco Family Medicine - Madison Cooper

  • Federally Qualified Health Center (FQHC)
  • Waco, TX
  • NPI 1568191492
  Medicare reassignment NPD
• Heart of Texas Community Health Center, Inc

  dba Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Waco, TX
  • NPI 1164409926
  NPD
• Heart of Texas Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Temple, TX
  • NPI 1992685218
  NPD
• A. Roy Wrather, D.D.S.

  dba Wrather Family Dentistry

  • General Practice Dentistry
  • Covington, TN
  • NPI 1629453642
  NPD (past)
• Crown Medical Monitoring PC

  • Family Medicine Physician
  • Covington, TN
  • NPI 1013617877
  NPD (past)

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1194100016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2289 NORWALK ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 JOHNSON DR",
            "city": "MC GREGOR",
            "state": "TX",
            "postal_code": "766571441",
            "telephone_number": "254-313-5200",
            "fax_number": "254-313-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KELSEY",
        "middle_name": "M",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "10127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John M Shultz, DDS
• Bella Smith
• Sarah Smith, MS, LAT, ATC
• South Limestone Hospital District (St. Joseph's Care Center)
• Darhonda Swallow, MSN,RN, CPNP-PC
• Paige Elizabeth Ver Steeg, RN
• Kelsi Elizabeth Wade, M.ED, BCBA, LBA
• Floyd Clinton Watson, MD
• Josephine Escasa Watson, MD
• Daphne Joy Weiss, MD

• General Practice Dentistry in McGregor, TX
• Providers in McGregor, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.

Verify at the official NPI Registry.