Individual provider Active NPI

Hope Diane Thomas-Glavin, DDS

  • General Practice Dentistry
  • Wilmington, DE
National Provider Identifier
1063563294
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
G1-0001002 Issued in DE
Practice address
5317 Limestone Rd
Suite 2
Wilmington, DE 19808-1252
Phone
(302) 239-6677
Fax
(302) 239-8222
NPI assigned
Jan 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X G1-0001002 DE Primary

Addresses

Primary practice location

5317 Limestone Rd
Suite 2
Wilmington, DE 19808-1252

Mailing address

5317 Limestone Rd
Suite 2
Wilmington, DE 19808-1252
Phone (302) 239-6677

Other identifiers 1

IdentifierTypeStateIssuer
0000962608MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20151214000704 DE Practitioner - Dentist 2163723370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G1-0001002DEMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1063563294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5317 LIMESTONE RD",
            "address_2": "SUITE 2",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081252",
            "telephone_number": "302-239-6677",
            "fax_number": "302-239-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5317 LIMESTONE RD",
            "address_2": "SUITE 2",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081252",
            "telephone_number": "302-239-6677",
            "fax_number": "302-239-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS-GLAVIN",
        "first_name": "HOPE",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G1-0001002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000962608",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.