Shelby Adrienne Thompson, RDA OMSA

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

RDA50815 Issued in CA

Practice address

1316 Coffee Rd
Suite E14
Modesto, CA 95355-3191

Phone

(209) 522-9963

Fax

(209) 522-5184

NPI assigned

Oct 11, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669560082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 COFFEE RD",
            "address_2": "SUITE E14",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553191",
            "telephone_number": "209-522-9963",
            "fax_number": "209-522-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 COFFEE RD",
            "address_2": "SUITE E14",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553191",
            "telephone_number": "209-522-9963",
            "fax_number": "209-522-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SHELBY",
        "middle_name": "ADRIENNE",
        "name_prefix": "Ms.",
        "credential": "RDA OMSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "RDA50815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth D Thompson, D.D.S.
• Michael Shane Thompson, RAS, CDAC
• Rachel Grace Thompson
• Rhonda Michelle Thompson, COTA
• Robert Carl Thompson
• Spirit Thompson
• Tonya Thompson
• Tyrone Thompson
• Victoria Thompson
• Robin Thornton

• Dental Assistant in Modesto, CA
• Providers in Modesto, CA by specialty
• Dental Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.