Individual provider Active NPI

James Forrest Glancy, DDS

  • Dentist
  • Whittier, CA
National Provider Identifier
1386745685
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DZ035497 Issued in CA
Practice address
9209 South Colima Rd
#2100
Whittier, CA 90605-1816
Phone
(562) 696-3210
Fax
(562) 698-0310
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DZ035497 CA Primary

Addresses

Primary practice location

9209 South Colima Rd
#2100
Whittier, CA 90605-1816

Mailing address

9209 South Colima Rd
#2100
Whittier, CA 90605-1816
Phone (562) 696-3210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161207001193 CA Order and Referring Only - DentistPractitioner - Dentist 0042590150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DZ035497CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386745685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9209 SOUTH COLIMA RD",
            "address_2": "#2100",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051816",
            "telephone_number": "562-696-3210",
            "fax_number": "562-698-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9209 SOUTH COLIMA RD",
            "address_2": "#2100",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051816",
            "telephone_number": "562-696-3210",
            "fax_number": "562-698-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLANCY",
        "first_name": "JAMES",
        "middle_name": "FORREST",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DZ035497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.