Kailey Marie Thomsen, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE61655997 Issued in WA

Practice address

3200 Duportail St Ste 204
Richland, WA 99352-6105

Phone

(509) 946-9999

NPI assigned

Apr 7, 2023

Sex

Female

Sole proprietor

No

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 OR

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

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1639864358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 DUPORTAIL ST STE 204",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993526105",
            "telephone_number": "509-946-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 DUPORTAIL ST STE 204",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993526105",
            "telephone_number": "509-946-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMSEN",
        "first_name": "KAILEY",
        "middle_name": "MARIE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-07",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE61655997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Heaston Thompson, O.D.
• Jennifer Lynn Thompson
• Rachelle Grace Thompson
• Rashelle Thompson
• Trent P Thompson, OD
• Eli J Thornock, DDS
• Tiffany Marie Thorson, LICSW
• Three Rivers Family Medicine. PSC
• Three Rivers Psychiatry
• Thrifty Payless Inc

• Pediatric Dentistry in Richland, WA
• Providers in Richland, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.