Glenn Michael Gara, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

0S200 Winfield Rd
Winfield, IL 60190-1235

Phone

(630) 690-1155

Fax

(630) 690-1196

NPI assigned

Apr 16, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Jrsmiles PLLC

  • Dental Clinic/Center
  • Winfield, IL
  • NPI 1548977101
  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104041177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "0 NORTH 645 ALTA LN",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "60190",
            "telephone_number": "630-462-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "0S200 WINFIELD RD",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901235",
            "telephone_number": "630-690-1155",
            "fax_number": "630-690-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARA",
        "first_name": "GLENN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Galanes, MS
• Janki J Gandhi, PA-C
• Gyu Il Gang, MD
• Glenna R Ganster, LCPC
• Mark A Gapinski, MD
• Diana Evette Garcia, CRNA
• Fabian Garcia, MD
• Anjali Rita Garg, M.D.
• Susan L Garrison, M.S.W., L.C.S.W.
• Dalia M. Garunas, MD

• General Practice Dentistry in Winfield, IL
• Providers in Winfield, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.