Active NPI
Glenna S Thompson, RDH
- Dental Hygienist
- Poplar, MT
National Provider Identifier
1821570599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H006938
- Practice address
- 107 H Street East
Poplar, MT 59255-0067 - Phone
- (406) 768-2179
- NPI assigned
- Aug 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H006938 | AZ | Primary |
Addresses
Primary practice location
107 H Street East
Poplar, MT 59255-0067
Mailing address
PO Box 67
Poplar, MT 59255-0067
Phone (406) 768-2179
Other practice location 1
550 6th Ave N
Wolf Point, MT 59201-6000
Phone (406) 653-1641
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H006938 | Other | AZ | LICENSE |
| 000009301 | Other | MT | BC/BS OF MONTANA |
| 2210068 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H006938 | AZ | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Health Dept of Health & Human Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rural Health Clinic/Center
- Wolf Point, MT
- NPI 1205927936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535587200000",
"number": "1821570599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 67",
"city": "POPLAR",
"state": "MT",
"postal_code": "592550067",
"telephone_number": "406-768-2179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 H STREET EAST",
"city": "POPLAR",
"state": "MT",
"postal_code": "592550067",
"telephone_number": "406-768-2179"
}
],
"practiceLocations": [
{
"address_1": "550 6th Ave N",
"address_purpose": "LOCATION",
"city": "Wolf Point",
"state": "MT",
"postal_code": "592016000",
"country_code": "US",
"telephone_number": "406-653-1641",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "GLENNA",
"middle_name": "S",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-30",
"last_updated": "2018-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "AZ",
"license": "H006938",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "H006938",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF MONTANA",
"identifier": "000009301",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2210068",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Poplar, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.