Shweta Thambad, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37644 Issued in TX

Practice address

1101 Stone St Ste 106
Kilgore, TX 75662-5814

Phone

(902) 200-5111

NPI assigned

Aug 13, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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.

• Kulkarni Dental PC

  • General Practice Dentistry
  • Kilgore, TX
  • NPI 1801328539

  General Practice

  NPD (past)
• Tyler Family Circle of Care

  • Community/Retail Pharmacy
  • Tyler, TX
  • NPI 1942011903
  NPD (past)

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1831864685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 STONE ST STE 106",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756625814",
            "telephone_number": "903-200-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 STONE ST STE 106",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756625814",
            "telephone_number": "902-200-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAMBAD",
        "first_name": "SHWETA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-13",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "37644",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marol Stafford, LVN
• Latavia Starling
• Sami Swisher
• Jeremiah Taylor, DDS
• Taylormade Dental & Implant Center, LLC
• Allyson Thompson, FNP-C
• Titus County Hospital District
• Total Point - Kilgore LLC
• Total Renal Care Texas Limited Partnership
• Totalcare Comprehensive Home Health Supply

• General Practice Dentistry in Kilgore, TX
• Providers in Kilgore, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.