Active NPI
Glenda G Peoples-Vernier, D.D.S.
- General Practice Dentistry
- Eastpointe, MI
National Provider Identifier
1346259165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14454
- Practice address
- 22855 Kelly Rd
Eastpointe, MI 48021-2057 - Phone
- (586) 779-6777
- Fax
- (586) 779-0926
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14454 | MI | Primary |
Addresses
Primary practice location
22855 Kelly Rd
Eastpointe, MI 48021-2057
Mailing address
4848 Dow Ridge Rd
Orchard Lake, MI 48324-2329
Phone (248) 706-7739
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1B00Q5 | Other | MA | BCBS OF MA |
| 818900 | Other | MI | UNITED CONCORDIA |
| D800328 | Other | MI | BCBS OF MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14454 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Denture & Implant Center PC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Eastpointe, MI
- NPI 1609033406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346259165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4848 DOW RIDGE RD",
"city": "ORCHARD LAKE",
"state": "MI",
"postal_code": "483242329",
"telephone_number": "248-706-7739",
"fax_number": "586-779-0926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22855 KELLY RD",
"city": "EASTPOINTE",
"state": "MI",
"postal_code": "480212057",
"telephone_number": "586-779-6777",
"fax_number": "586-779-0926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEOPLES-VERNIER",
"first_name": "GLENDA",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "14454",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MA",
"identifier": "1B00Q5",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "818900",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MI",
"identifier": "D800328",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eastpointe, MI
Sources for this page
- 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.