Thomas E. Kersting, DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

06799 Issued in IA

Legal business name

THOMAS E. KERSTING, DDS PC

Practice address

100 E Kimberly Rd
Suite 501
Davenport, IA 52806-5924

Phone

(563) 386-3065

NPI assigned

Nov 17, 2006

Last updated

Aug 27, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Edward Kersting, DDSNPI 1548354558

Title

Owner

Phone

(563) 386-3065

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Edward Kersting, DDS

  • General Practice Dentistry
  • Davenport, IA
  • NPI 1548354558
  NPD (past) Authorized official

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1902979735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E KIMBERLY RD",
            "address_2": "SUITE 501",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528065924",
            "telephone_number": "563-386-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E KIMBERLY RD",
            "address_2": "SUITE 501",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528065924",
            "telephone_number": "563-386-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS E. KERSTING, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "KERSTING",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-386-3065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "06799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009845",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Weekend Clinic PLC
• The Wellnest of the Quad Cities
• Bounthong Toby Thepsoumphone, DC, LMT, BS
• Marc Conel Thevenin Jr., DDS
• Christine L Thoeming
• Aaron M Thomas, MSW, LCSW, LISW
• Angela Ellen Thomas, DC
• Kelly C Thomas, LMHC
• Abigail Michelle Thompson, LMSW
• Jacqueline Darshica Thompson

• General Practice Dentistry in Davenport, IA
• Providers in Davenport, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.