Active NPI
Glenn Howard Featherman, D.M.D.
- General Practice Dentistry
- Morton, PA
National Provider Identifier
1568514909
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Sep 18, 2014.
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS-025882-L
- Practice address
- 845 Kedron Ave
Morton, PA 19070-1618 - Phone
- (610) 544-6370
- Fax
- (610) 544-6599
- NPI assigned
- Jan 17, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | DS-025882-L | PA | Primary |
Addresses
Primary practice location
845 Kedron Ave
Morton, PA 19070-1618
Mailing address
845 Kedron Ave
Morton, PA 19070-1618
Phone (610) 544-6370
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS-025882-L | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568514909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 KEDRON AVE",
"city": "MORTON",
"state": "PA",
"postal_code": "190701618",
"telephone_number": "610-544-6370",
"fax_number": "610-544-6599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 KEDRON AVE",
"city": "MORTON",
"state": "PA",
"postal_code": "190701618",
"telephone_number": "610-544-6370",
"fax_number": "610-544-6599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEATHERMAN",
"first_name": "GLENN",
"middle_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS-025882-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morton, PA
- Dr.Stanford a. Shor Associates
- Dva Healthcare Renal Care Inc (Waverly Dialysis)
- Eminent Medical Transport Inc.
- Eyewear Optical Inc.
- Fea Industries, Inc.
- Fimart Healthcare Services LLC
- Kellye Lynne Gallagher, CCC-SLP
- General Internal Medicine Practice PC
- Andrew Harron, PSYD, MBA
- Alison G. Hefferan, SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.