DR. BRIAN M THIELEN DMD
NPI 1104972033
Dentist - General Practice in Green Bay, WI

Q: What is Brian Thielen's NPI number?

The NPI number for Brian Thielen is 1104972033. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Q: What is Brian Thielen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Brian Thielen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 25, 2007PECOS Enrolled

1543 PARK PL, SUITE 300, GREEN BAY, WI 54304(920) 405-3600(920) 405-9057 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Brian M Thielen Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRIAN M THIELEN DMD (NPI 1104972033) is an individual general practice provider in Green Bay, Wisconsin, licensed in Wisconsin (4725) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104972033

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. BRIAN M THIELENCredential: DMD

Location Address1543 PARK PL, SUITE 300Green Bay, WI 54304-1970

Mailing Address1543 Park Pl, Suite 300Green Bay, WI 54304-1970 · (920) 405-3600 · Fax (920) 405-9057

Phone(920) 405-3600

Fax(920) 405-9057

Sole ProprietorYes

Enumeration DateJanuary 25, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104972033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WI · 4725

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1543 PARK PL, Green Bay, WI 54304

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brian M Thielen Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLYN MARGARET BORES DDS

Dentist (General Practice)

1543 PARK PL
GREEN BAY, WI 54304

Brown County (920) 497-1566

JAMES EDWARD MEMMEN MD

Ophthalmology

1543 PARK PL, SUITE 400
GREEN BAY, WI 54304

Brown County (920) 497-0100

DR. JOHN MICHAEL FAY II DDS

Dentist (General Practice)

1543 PARK PL
GREEN BAY, WI 54304

Brown County (920) 497-1566

BEST OPTICAL LLC

Specialist

1543 PARK PL, SUITE 400
GREEN BAY, WI 54304

Brown County (920) 497-0100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Thielen's NPI number?

The NPI number for Brian Thielen is 1104972033. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Brian Thielen located?

Brian Thielen practices at 1543 Park Pl Suite 300, Green Bay, WI 54304. The listed phone number is (920) 405-3600.

What is Brian Thielen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Brian Thielen enrolled in Medicare?

Yes. Brian Thielen is registered in the Medicare PECOS enrollment system.

What insurance does Brian Thielen accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Wisconsin, Inc. and HRI Dental & Vision and 1 other insurer list Brian Thielen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brian Thielen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.