Glenford Nakpawan, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

52438 Issued in CA

Practice address

875 Mamaroneck Ave
Suite 100a
Mamaroneck, NY 10543-1900

Phone

(914) 835-6004

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1366596306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19066 BRASILIA DR",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913261520",
            "telephone_number": "914-835-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 MAMARONECK AVE",
            "address_2": "SUITE 100A",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431900",
            "telephone_number": "914-835-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKPAWAN",
        "first_name": "GLENFORD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051608",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "52438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02634839",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roshini Mullakary, MD
• Debra Mulliqi
• Melany Munoz Gonzalez
• Clifford Murray
• Jaye Murray
• Tiyan Nardi, RN
• Michael Lawrence Nathans, D.D.S.
• Natural Image Hair Concepts of Westchester, Inc.
• Steven James Nava
• Logan Christopher Neal

• Dentist in Mamaroneck, NY
• Providers in Mamaroneck, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.