Kenneth D Thompson DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47812 Issued in CA

Legal business name

KENNETH D THOMPSON DDS INC

Practice address

4213 Dale Rd
Ste. 5
Modesto, CA 95356-8505

Phone

(209) 545-4760

Fax

(209) 545-2166

NPI assigned

Jan 15, 2009

Organization subpart

No

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

Authorized official

Name

Kenneth D Thompson, D.D.S.NPI 1689788598

Title

President

Phone

(209) 545-4760

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth D Thompson, D.D.S.

  • General Practice Dentistry
  • Modesto, CA
  • NPI 1689788598
  NPD (past) Authorized official

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1194962852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4213 DALE RD",
            "address_2": "STE. 5",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953568505",
            "telephone_number": "209-545-4760",
            "fax_number": "209-545-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4213 DALE RD",
            "address_2": "STE. 5",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953568505",
            "telephone_number": "209-545-4760",
            "fax_number": "209-545-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH D THOMPSON DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-545-4760",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennedy & Young Optometry
• Kennedy & Young Optometry
• Barbara Kennedy-Funtila, MD
• Donavan Kennedy
• Warren Leigh Kennedy, OD
• Jennifer Jo'L Kennon
• Christine Kenyon
• Erik L. Kenyon, DPM
• Katie Keo
• Ker Yong Justine Koh MD a Professional Corporation

• General Practice Dentistry in Modesto, CA
• Providers in Modesto, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.