Organization Active NPI

Dr Glenn Shtarkman DMD LLC

  • General Practice Dentistry
  • Parma Heights, OH
National Provider Identifier
1255291217
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DR GLENN SHTARKMAN DMD LLC
Practice address
6363 York Rd Ste 203
Parma Heights, OH 44130-3031
Phone
(440) 885-5354
NPI assigned
Nov 13, 2025
Last updated
Nov 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Lorissa Burgun
Title
Office Manager
Phone
(440) 885-5354

Specialties & licenses 1

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

Addresses

Primary practice location

6363 York Rd Ste 203
Parma Heights, OH 44130-3031

Mailing address

6363 York Rd Ste 203
Parma Heights, OH 44130-3031
Phone (440) 885-5354

National Provider Directory

National Provider Directory

Locations

6363 York Rd
Ste 203
Parma Heights, OH 44130
Phone (440) 885-5354

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1255291217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6363 YORK RD STE 203",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441303031",
            "telephone_number": "440-885-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 YORK RD STE 203",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441303031",
            "telephone_number": "440-885-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GLENN SHTARKMAN DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "BURGUN",
        "authorized_official_first_name": "LORISSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "440-885-5354"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.