EMILY THOMPSON
NPI 1396129284
Dentist - General Practice in Green Bay, WI
About Emily Thompson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMILY THOMPSON (NPI 1396129284) is an individual general practice provider in Green Bay, Wisconsin, licensed in Wisconsin (1001178-15) and active in the NPI registry since July 2015. She has opted out of Medicare through October 18, 2026 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Emily Thompson 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 18, 2016 through October 18, 2026.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54311 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GREEN BAY, WI 54311
GREEN BAY, WI 54311
GREEN BAY, WI 54311
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 Emily Thompson's NPI number?
The NPI number for Emily Thompson is 1396129284. It was assigned to this individual provider in the NPPES registry on July 10, 2015.
Where is Emily Thompson located?
Emily Thompson practices at 2851 University Ave Dental Clinic, Green Bay, WI 54311. The listed phone number is (920) 431-2843.
What is Emily Thompson's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Emily Thompson enrolled in Medicare?
No. Emily Thompson has opted out of Medicare through October 18, 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 Emily Thompson was last updated on July 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Emily Thompson · NPI 1396129284
General Practice provider in Green Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since July 10, 2015.
## Identity
- **NPI:** 1396129284 (Entity type: Individual)
- **Enumerated:** July 10, 2015
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 1001178-15 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2851 UNIVERSITY AVE, DENTAL CLINIC, Green Bay, WI 54311-5855
- **Phone:** (920) 431-2843
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 18, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** July 10, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1396129284) · Data from the CMS NPPES public registry.