Active NPI
Janet C Glenn, DDS, MAGD
- General Practice Dentistry
- Irving, TX
National Provider Identifier
1063417418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14637
- Practice address
- 6550 Sierra Drive
Irving, TX 75039 - Phone
- (972) 594-0022
- Fax
- (972) 409-1000
- NPI assigned
- Jun 14, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 14637 | TX | |
| General Practice Dentistry | 1223G0001X | 14637 | TX | Primary |
Addresses
Primary practice location
6550 Sierra Drive
Irving, TX 75039
Mailing address
6550 Sierra Drive
Irving, TX 75039
Phone (972) 594-0022
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 |
|---|---|---|---|
| 14637 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Encore Las Colinas Dental Professional PLLC | Dentist | Past | Accepting new patients |
| Janet Glenn DDS Magd | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Irving, TX
- NPI 1477832160
-
- Dentist
- Irving, TX
- NPI 1750886263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317340800000",
"number": "1063417418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6550 SIERRA DRIVE",
"city": "IRVING",
"state": "TX",
"postal_code": "75039",
"telephone_number": "972-594-0022",
"fax_number": "972-409-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6550 SIERRA DRIVE",
"city": "IRVING",
"state": "TX",
"postal_code": "75039",
"telephone_number": "972-594-0022",
"fax_number": "972-409-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLENN",
"first_name": "JANET",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DDS, MAGD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-14",
"last_updated": "2011-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "14637",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "14637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.