Emily J Thompson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901021550 Issued in MI

Practice address

8155 Main St
Birch Run, MI 48415-7724

Phone

(989) 624-4641

NPI assigned

Jun 15, 2015

Last updated

Dec 27, 2023By the provider in NPPES

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 MI

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Main Street Family Dental

  • Dental Clinic/Center
  • Birch Run, MI
  • NPI 1205357126
  NPD

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1124409214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8155 MAIN ST",
            "city": "BIRCH RUN",
            "state": "MI",
            "postal_code": "484157724",
            "telephone_number": "989-624-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8155 MAIN ST",
            "city": "BIRCH RUN",
            "state": "MI",
            "postal_code": "484157724",
            "telephone_number": "989-624-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "EMILY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Sue Smith, RRT
• Laura Snellenberger, RPH
• Ashley Marie Stender, MA, NCC, LLC
• Christine Stevens, LMSW
• Jennifer Raquel Taylor-Perry, LPC
• Kenneth Robert Tiller, DC
• Lauren Paige Tornberg
• Baleigh Ann Turner, MS, OTR/L
• Tabitha J Tyree
• Usv Optical Inc.

• General Practice Dentistry in Birch Run, MI
• Providers in Birch Run, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.