CONVENIENT CARE CLINIC
NPI 1841705100
Clinic/Center - Primary Care in Stephenville, TX

Active since December 08, 2017
2216 W WASHINGTON, STEPHENVILLE, TX 76401(254) 965-5888(254) 965-5865 Get Directions Write a Review

NPPES record last updated: December 8, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Convenient Care Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONVENIENT CARE CLINIC (NPI 1841705100) is a healthcare organization registered as a primary care in Stephenville, Texas and active in the NPI registry since December 2017. The organization lists Kelly S. Doggett, Physician/sole Member, as its authorized official.

NPPES Registry Identity

NPI1841705100
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameKTD, PLLC
Location Address2216 W WASHINGTONStephenville, TX 76401-7640
Mailing Address2216 W Washington StStephenville, TX 76401-3838 · (254) 965-5888 · Fax (254) 965-5865
Fax(254) 965-5865
Organization SubpartNo
Authorized OfficialKelly S. DoggettPhysician/sole Member · (254) 965-5888
Enumeration DateDecember 8, 2017
✔ NPI 1841705100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2216 W WASHINGTON, Stephenville, TX 76401

Other Names 1

Doing Business AsConvenient Care Clinic

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Convenient Care Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Convenient Care Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1417913344
2216 W WASHINGTON ST
Stephenville, TX 76401
(254) 965-5888
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1043336175
2216 W WASHINGTON ST
Stephenville, TX 76401
(254) 965-5888
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ktd, PLLC's NPI number?

The NPI number for Ktd, PLLC is 1841705100. It was assigned to this organization in the NPPES registry on December 8, 2017. The provider is doing business as Convenient Care Clinic.

Where is Ktd, PLLC located?

Ktd, PLLC is located at 2216 W Washington, Stephenville, TX 76401. The listed phone number is (254) 965-5888.

What is Ktd, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Ktd, PLLC enrolled in Medicare?

Yes. Ktd, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ktd, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Ktd, PLLC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ktd, PLLC was last updated on December 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.