Organization Active NPI

Glenn Belen, D.D.S. Elizabeth Vasco, D.D.S., a.P.C.

  • General Practice Dentistry
  • San Mateo, CA
National Provider Identifier
1114068939
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30769 Issued in CA
Legal business name
GLENN BELEN, D.D.S. ELIZABETH VASCO, D.D.S., A.P.C.
Practice address
135 N San Mateo Dr
San Mateo, CA 94401-2708
Phone
(650) 344-7500
Fax
(650) 344-9019
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Glenn Belen, D.D.S.NPI 1376684548
Title
Dentist
Phone
(650) 344-7500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30769 CA Primary

Addresses

Primary practice location

135 N San Mateo Dr
San Mateo, CA 94401-2708

Mailing address

135 N San Mateo Dr
San Mateo, CA 94401-2708
Phone (650) 344-7500

National Provider Directory

National Provider Directory

Locations

135 N San Mateo Dr
San Mateo, CA 94401
Phone (650) 344-7500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114068939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N SAN MATEO DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012708",
            "telephone_number": "650-344-7500",
            "fax_number": "650-344-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N SAN MATEO DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012708",
            "telephone_number": "650-344-7500",
            "fax_number": "650-344-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN BELEN, D.D.S. ELIZABETH VASCO, D.D.S., A.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BELEN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "650-344-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.