Individual provider Active NPI

James Peter Glinos, D.D.S.

  • General Practice Dentistry
  • Schaumburg, IL
National Provider Identifier
1497809487
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Practice address
536 W Wise Rd
Schaumburg, IL 60193-3815
Phone
(847) 352-8822
Fax
(847) 352-9119
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X IL Primary

Addresses

Primary practice location

536 W Wise Rd
Schaumburg, IL 60193-3815

Mailing address

536 W Wise Rd
Schaumburg, IL 60193-3815
Phone (847) 352-8822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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

Enrollment IDStateProvider typePAC IDDetails
I20160202001697 IL Order and Referring Only - DentistPractitioner - Dentist 1850695487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
019021649ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Wise Dental Associates PC Past Accepting new patients

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497809487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 W WISE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933815",
            "telephone_number": "847-352-8822",
            "fax_number": "847-352-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 W WISE RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601933815",
            "telephone_number": "847-352-8822",
            "fax_number": "847-352-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLINOS",
        "first_name": "JAMES",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.