Glenn W. Labine

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1535 Issued in ND

Legal business name

GLENN W. LABINE

Practice address

2401 S Washington St
Suite C
Grand Forks, ND 58201-6747

Phone

(701) 775-0682

Fax

(701) 772-9697

NPI assigned

Jun 14, 2011

Organization subpart

No

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

Authorized official

Name

Terri Carlson

Title

Receptionist

Phone

(701) 775-0682

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Grant Steven Korsmo, D.D.S.

  • Dentist
  • Grand Forks, ND
  • NPI 1467655811
  NPD (past)
• Glenn Wayne Labine, DDS

  • General Practice Dentistry
  • Grand Forks, ND
  • NPI 1023125002

  General Practice

  NPD (past)

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1477848828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 S WASHINGTON ST",
            "address_2": "SUITE C",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016747",
            "telephone_number": "701-775-0682",
            "fax_number": "701-772-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S WASHINGTON ST",
            "address_2": "SUITE C",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016747",
            "telephone_number": "701-775-0682",
            "fax_number": "701-772-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN W. LABINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "701-775-0682"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "1535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40572",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "451220100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Gillespie, OTR/L
• Melissa Sarah Anne Gilmore, RN, BSN
• Dadi Ram Giri
• Alison Gjesdal, NP
• Karen Glavin, PA-C
• Claire Glines, LBSW
• Andrea Goertzen
• Jennifer Goettle, LSW
• Jodie Goetz
• Christopher Goldade

• All providers in Grand Forks, ND
• General Practice Dentistry in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.