Active NPI
Brandon Keith Thompson, DDS, MHS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Troy, MI
National Provider Identifier
1932883105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 2901601504
- Practice address
- 800 Kirts Blvd Ste 650
Troy, MI 48084-4850 - Phone
- (248) 429-2229
- NPI assigned
- Jun 9, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 2901601504 | MI | Primary |
Addresses
Primary practice location
800 Kirts Blvd Ste 650
Troy, MI 48084-4850
Mailing address
6194 Anne Dr
West Bloomfield, MI 48322-3139
Phone (248) 661-6986
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 |
|---|---|---|---|
| 2901601504 | MI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1932883105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6194 ANNE DR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483223139",
"telephone_number": "248-661-6986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 KIRTS BLVD STE 650",
"city": "TROY",
"state": "MI",
"postal_code": "480844850",
"telephone_number": "248-429-2229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "BRANDON",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "DDS, MHS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-09",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MI",
"license": "2901601504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.