Active NPI
Kathryn Glazer, DMD
- Pediatric Dentistry
- Guilford, CT
National Provider Identifier
1447346200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 30022346
- Practice address
- 934 Boston Post Road
Unit 3a
Guilford, CT 06437 - Phone
- (203) 533-5050
- Fax
- (203) 689-5146
- NPI assigned
- Oct 5, 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 30022346 | OH | Primary |
Addresses
Primary practice location
934 Boston Post Road
Unit 3a
Guilford, CT 06437
Mailing address
934 Boston Post Road
Unit 3a
Guilford, CT 06437
Phone (203) 533-5050
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 |
|---|---|---|---|
| 30022346 | OH | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619481600000",
"number": "1447346200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "934 BOSTON POST ROAD",
"address_2": "UNIT 3A",
"city": "GUILFORD",
"state": "CT",
"postal_code": "06437",
"telephone_number": "203-533-5050",
"fax_number": "203-689-5146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "934 BOSTON POST ROAD",
"address_2": "UNIT 3A",
"city": "GUILFORD",
"state": "CT",
"postal_code": "06437",
"telephone_number": "203-533-5050",
"fax_number": "203-689-5146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLAZER",
"first_name": "KATHRYN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "OH",
"license": "30022346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guilford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.