Active NPI
Kathrine M. Thompson, DMD
- General Practice Dentistry
- Fort Cavazos, TX
National Provider Identifier
1285696484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 26217
- Practice address
- USA Dentac Fort Cavazos
36000 Shoemaker Lane, Suite 1051
Fort Cavazos, TX 76544 - Phone
- (254) 287-3105
- NPI assigned
- Apr 4, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 26217 | TX | Primary |
Addresses
Primary practice location
USA Dentac Fort Cavazos
36000 Shoemaker Lane, Suite 1051
Fort Cavazos, TX 76544
Mailing address
USA Dentac Fort Cavazos
36000 Shoemaker Lane, Suite 1051
Fort Cavazos, TX 76544
Phone (254) 287-3105
Other names 1
- Dr. Kathrine M. Morin
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260627000666 | TX | Order and Referring Only - Dentist | 4183197478 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26217 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1285696484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "USA DENTAC FORT CAVAZOS",
"address_2": "36000 SHOEMAKER LANE, SUITE 1051",
"city": "FORT CAVAZOS",
"state": "TX",
"postal_code": "76544",
"telephone_number": "254-287-3105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "USA DENTAC FORT CAVAZOS",
"address_2": "36000 SHOEMAKER LANE, SUITE 1051",
"city": "FORT CAVAZOS",
"state": "TX",
"postal_code": "76544",
"telephone_number": "254-287-3105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "KATHRINE",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-04",
"last_updated": "2023-08-01",
"certification_date": "2023-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "26217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRINE",
"last_name": "MORIN",
"middle_name": "M.",
"prefix": "DR.",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Cavazos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.