Active NPI
Jamie Dahlgren Glover, M.D.
- Family Medicine Physician
- Monument, CO
National Provider Identifier
1487648150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DR51890
- Practice address
- 1840 Deer Creek Rd
Suite 101
Monument, CO 80132-9089 - Phone
- (719) 344-2789
- Fax
- (719) 362-1102
- NPI assigned
- Sep 8, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DR51890 | CO | Primary |
Addresses
Primary practice location
1840 Deer Creek Rd
Suite 101
Monument, CO 80132-9089
Mailing address
17745 Grama RDG
Colorado Springs, CO 80908-1360
Phone (719) 344-2789
Other names 1
- Jamie Lynne Dahlgren
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 29, 2017 through Nov 29, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR51890 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JD Glover, PLLC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- jamie.glover@38426141720580.direct.elationemr.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486425600000",
"number": "1487648150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17745 GRAMA RDG",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809081360",
"telephone_number": "719-344-2789",
"fax_number": "719-362-1102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 DEER CREEK RD",
"address_2": "SUITE 101",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801329089",
"telephone_number": "719-344-2789",
"fax_number": "719-362-1102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOVER",
"first_name": "JAMIE",
"middle_name": "DAHLGREN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-08",
"last_updated": "2017-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR51890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "DAHLGREN",
"middle_name": "LYNNE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Monument, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.