Individual provider Active NPI

Douglas G Thompson, DDS

  • Dentist
  • Bloomfield Hills, MI
National Provider Identifier
1497725303
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16969 Issued in MI
Practice address
3684 W Maple Rd
Bloomfield Hills, MI 48301-3375
Phone
(248) 642-1000
Fax
(248) 642-1004
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 16969 MI Primary

Addresses

Primary practice location

3684 W Maple Rd
Bloomfield Hills, MI 48301-3375

Mailing address

3684 W Maple Rd
Bloomfield Hills, MI 48301-3375
Phone (248) 642-1000

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250331002412 MI Practitioner - Dentist 2769631423

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16969MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Disorders-Oral Solutions for Total Health, PLLC Dentist CurrentSince Mar 23, 2012 Accepting new patients
Douglas G. Thompson, D.D.S., P.L.L.C Dentist CurrentSince Feb 18, 2025 Accepting new patients

Locations

3684 W Maple Rd
Bloomfield Hills, MI 48301
Phone (248) 642-1000

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1497725303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3684 W MAPLE RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013375",
            "telephone_number": "248-642-1000",
            "fax_number": "248-642-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3684 W MAPLE RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013375",
            "telephone_number": "248-642-1000",
            "fax_number": "248-642-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "DOUGLAS",
        "middle_name": "G",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "16969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.