Glen Carmine Donnarumma, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

040977 Issued in NY

Practice address

711 Young St
Tonawanda, NY 14150-4112

Phone

(716) 694-1134

Fax

(716) 694-0665

NPI assigned

Sep 6, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Ladota Optometry, PC

  • Optometrist
  • Tonawanda, NY
  • NPI 1356578983
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1053414284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 YOUNG ST",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141504112",
            "telephone_number": "716-694-1134",
            "fax_number": "716-694-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 YOUNG ST",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141504112",
            "telephone_number": "716-694-1134",
            "fax_number": "716-694-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNARUMMA",
        "first_name": "GLEN",
        "middle_name": "CARMINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "040977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doing the Right Thing Mobility Service
• Jessica Lynn Dominesey, BS
• Dawnmarie Domke, LCSWR
• Kaitlyn S Domres, M.D.
• Michael Donahue, DDS
• Christine Ann Doran, RD, CDN
• Mary Dowd, F.N.P.
• Carolyn Doyle IV
• Dr Francis P Oday DDS PC
• Dr Maria Cronyn

• Oral and Maxillofacial Surgery (Dentist) in Tonawanda, NY
• Providers in Tonawanda, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.