Meredeth M Glenn, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

049079 Issued in NY

Practice address

102 Grand St
Croton on Hudson, NY 10520-2305

Phone

(914) 271-5696

Fax

(914) 206-4849

NPI assigned

Nov 2, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: mglenn838794@nychhc.direct-ci.com

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427049022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 GRAND ST",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105202305",
            "telephone_number": "914-271-5696",
            "fax_number": "914-206-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 GRAND ST",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105202305",
            "telephone_number": "914-271-5696",
            "fax_number": "914-206-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "MEREDETH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "049079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Gartner, PHARMACIST
• Renee Barbara Gaska, D.M.D.
• Nicole Elizabeth Gerosa, PHARM D
• Amanda Giacquinta
• Gifted Counseling Services, P.C.
• Patricia D Gold, L.C.S.W.
• Robert T. Gold, D.D.S.
• Neil Curtis Goldman, MD
• Faye Goldstein
• Katherine Gonzalez Correa

• Pediatric Dentistry in Croton on Hudson, NY
• Providers in Croton on Hudson, NY by specialty
• Pediatric Dentistry in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.