DAVID CHARLES THOMPSON DDS
NPI 1306971098
Dentist in Green Bay, WI

Active since February 22, 2007Opted out of Medicare · through Oct 20, 2026
1711 SHAWANO AVE, GREEN BAY, WI 54303(920) 494-9541 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David Charles Thompson Dds NPPES

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

DAVID CHARLES THOMPSON DDS (NPI 1306971098) is an individual dentist in Green Bay, Wisconsin, licensed in Wisconsin (4105 WI) and active in the NPI registry since February 2007. He has opted out of Medicare through October 20, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1306971098
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDAVID CHARLES THOMPSONCredential: DDS
Location Address1711 SHAWANO AVEGreen Bay, WI 54303
Mailing Address1711 Shawano AveGreen Bay, WI 54303 · (920) 494-9541
Sole ProprietorNo
Enumeration DateFebruary 22, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1306971098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in WI · 4105 WI
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1711 SHAWANO AVE, Green Bay, WI 54303

Other Identifiers 1

Medicaid33703500WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

David Charles Thompson Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 20, 2014 through October 20, 2026.

Opt-Out Effective DateOctober 20, 2014
Opt-Out In Effect ThroughOctober 20, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54303 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 13

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

Dentist
1711 SHAWANO AVE
GREEN BAY, WI 54303
Dental Hygienist
1711 SHAWANO AVE
GREEN BAY, WI 54303
Dental Hygienist
1711 SHAWANO AVE
GREEN BAY, WI 54303
Dentist
1711 SHAWANO AVE
GREEN BAY, WI 54303
Clinic/Center (Dental)
1711 SHAWANO AVE
GREEN BAY, WI 54303
Dental Hygienist
1711 SHAWANO AVE
GREEN BAY, WI 54303
Dental Hygienist
1711 SHAWANO AVE
GREEN BAY, WI 54303
Dentist
1711 SHAWANO AVE
GREEN BAY, WI 54303

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 David Thompson's NPI number?

The NPI number for David Thompson is 1306971098. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is David Thompson located?

David Thompson practices at 1711 Shawano Ave, Green Bay, WI 54303. The listed phone number is (920) 494-9541.

What is David Thompson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is David Thompson enrolled in Medicare?

No. David Thompson has opted out of Medicare through October 20, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for David Thompson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.