Active NPI
Julie Glud, D.D.S.
- General Practice Dentistry
- Lombard, IL
National Provider Identifier
1467545277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019027508
- Practice address
- 120 E Saint Charles Rd
Lombard, IL 60148-2303 - Phone
- (616) 485-0765
- Fax
- (630) 613-9760
- NPI assigned
- Oct 2, 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 | 019027508 | IL | Primary |
Addresses
Primary practice location
120 E Saint Charles Rd
Lombard, IL 60148-2303
Mailing address
120 E Saint Charles Rd
Lombard, IL 60148-2303
Phone (616) 485-0765
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 |
|---|---|---|---|
| 019027508 | IL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463788800000",
"number": "1467545277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 E SAINT CHARLES RD",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601482303",
"telephone_number": "616-485-0765",
"fax_number": "630-613-9760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 E SAINT CHARLES RD",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601482303",
"telephone_number": "616-485-0765",
"fax_number": "630-613-9760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLUD",
"first_name": "JULIE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2016-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019027508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.