Bryan McGuigan Thompson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12013073A Issued in IN

Practice address

5108 N Clinton St
Fort Wayne, IN 46825-5720

Phone

(260) 482-1551

Fax

(260) 484-4537

NPI assigned

Jul 5, 2018

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Glassley & Marr Dental Group, P.C.

  • General Practice Dentistry
  • Fort Wayne, IN
  • NPI 1275603508
  NPD Authorized official
• Dentists of Greeley, LLP

  • General Practice Dentistry
  • Greeley, CO
  • NPI 1679017560
  NPD (past)

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1003302894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5108 N CLINTON ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255720",
            "telephone_number": "260-482-1551",
            "fax_number": "260-484-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5108 N CLINTON ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255720",
            "telephone_number": "260-482-1551",
            "fax_number": "260-484-4537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4421 Centerplace Dr Unit A",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806343764",
            "country_code": "US",
            "telephone_number": "970-236-9324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "BRYAN",
        "middle_name": "MCGUIGAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-05",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00203595",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12013073A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean F.C. Thomas, D.C.
• Shannon L Thomas
• Tasha Marie Thomas, COTA
• Zarni Htwe Htwe Thomas
• Lowleta Denise Thompson-Kimble
• Carley Thompson, PHARMD
• Charlotte Thompson
• Christopher Martin Thompson, PHARMD
• Hannah Alexis Thompson, RDN, LD
• Jaclyn Thompson, M.A., CCC-SLP

• General Practice Dentistry in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.