Krstal Kay Thompson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3914 Issued in WV

Practice address

141 Bowlby Rd
Maidsville, WV 26541-8046

Phone

(304) 328-6006

NPI assigned

Jun 18, 2010

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 WV

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• TKR Oral Maxillofacial Surgeons Corporation

  • Oral and Maxillofacial Surgery (Dentist)
  • Beckley, WV
  • NPI 1710518543
  NPD (past) Authorized official
• West Virginia University School of Dentistry Dba University Health Ass

  • Student in an Organized Health Care Education/Training Program
  • Morgantown, WV
  • NPI 1801200225
  NPD (past)

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1699096131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9401",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265069401",
            "telephone_number": "304-293-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 BOWLBY RD",
            "city": "MAIDSVILLE",
            "state": "WV",
            "postal_code": "265418046",
            "telephone_number": "304-328-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KRSTAL",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle D. Sakellarides, D.O.
• Lauren Nicole Sanetrik
• Caroline Scherer
• Debra Ellen Shafer
• Gage Allen Stewart
• Tammy Eileen Walls
• Christinn Watkins
• Katern Sue Willard

• General Practice Dentistry in Maidsville, WV
• Providers in Maidsville, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.