NPIMap

Organization Active NPI

E. Glenn Glassman, D.D.S. PC Dba Orthocare Systems

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Ellisville, MO
National Provider Identifier
1235356783
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
013277 Issued in MO
Legal business name
E. GLENN GLASSMAN, D.D.S. PC DBA ORTHOCARE SYSTEMS
Practice address
15925 Manchester Rd
Ellisville, MO 63011-2101
Phone
(636) 394-3660
Fax
(636) 394-3519
NPI assigned
Apr 19, 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. Elliot Glenn Glassman, DDS
Title
Owner
Phone
(636) 757-0770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 013277 MO Primary

Addresses

Primary practice location

15925 Manchester Rd
Ellisville, MO 63011-2101

Mailing address

709 S 5TH St
Saint Charles, MO 63301-2913
Phone (636) 757-0770

National Provider Directory

National Provider Directory
Tax ID family
E Glenn Glassman DDS PC Dba Orthocare Systems4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15925 Manchester Rd
Ellisville, MO 63011
Phone (636) 394-3660

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235356783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 S 5TH ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012913",
            "telephone_number": "636-757-0770",
            "fax_number": "636-757-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15925 MANCHESTER RD",
            "city": "ELLISVILLE",
            "state": "MO",
            "postal_code": "630112101",
            "telephone_number": "636-394-3660",
            "fax_number": "636-394-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. GLENN GLASSMAN, D.D.S. PC DBA ORTHOCARE SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLASSMAN",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-757-0770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "013277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellisville, MO

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.