Individual provider Active NPI

Glenn David Thompson, DMD

  • General Practice Dentistry
  • Colorado Springs, CO
National Provider Identifier
1487662466
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8447 Issued in CO
Practice address
4121 High Forest Rd
Colorado Springs, CO 80908-2040
Phone
(719) 432-7242
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8447 CO Primary

Addresses

Primary practice location

4121 High Forest Rd
Colorado Springs, CO 80908-2040

Mailing address

4121 High Forest Rd
Colorado Springs, CO 80908-2040
Phone (719) 432-7242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20260123000444 CO Practitioner - Dentist 9436636156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Tufts University School of Dental Medicine, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10371 Parkglenn Way
Suite 270
Parker, CO 80138-3822
Phone (303) 879-4278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8447COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sasa Clinics LLC CurrentSince Nov 4, 2025 Accepting new patients
Brinton Family Dentistry, PC General Practice Past Accepting new patients

Locations

10371 Parkglenn Way
Ste 270
Parker, CO 80138
Phone (303) 468-8668

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1487662466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 HIGH FOREST RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809082040",
            "telephone_number": "719-432-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 HIGH FOREST RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809082040",
            "telephone_number": "719-432-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "GLENN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.