NPIMap

Organization Active NPI

Glosman Dental Group, LTD

  • Dentist
  • Las Vegas, NV
National Provider Identifier
1528287232
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3580 Issued in NV
Legal business name
GLOSMAN DENTAL GROUP, LTD
Practice address
9210 S. Eastern Ave #130,
Las Vegas, NV 89123-4834
Phone
(702) 492-6606
Fax
(702) 492-1580
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Authorized official

Name
Monique R Glosman, DDS
Title
Chief of Staff
Phone
(310) 480-2307

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 3580 NV Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 3580 NV

Addresses

Primary practice location

9210 S. Eastern Ave #130,
Las Vegas, NV 89123-4834

Mailing address

833 W Whittier Blvd
Montebello, CA 90640-4735
Phone (323) 266-1000

Other identifiers 1

IdentifierTypeStateIssuer
002202150MedicaidNV

Other names 1

  • Dentalville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dentalville6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1528287232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 W WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404735",
            "telephone_number": "323-266-1000",
            "fax_number": "323-859-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9210 S. EASTERN AVE #130,",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891234834",
            "telephone_number": "702-492-6606",
            "fax_number": "702-492-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOSMAN DENTAL GROUP, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "GLOSMAN",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF OF STAFF",
        "authorized_official_telephone_number": "310-480-2307",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NV",
            "license": "3580",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "3580",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002202150",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentalville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.