Active NPI
Glynn Orthopedic Services
- Customized Equipment (DME)
- Pembroke, MA
National Provider Identifier
1568579159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- GLYNN ORTHOPEDIC SERVICES
- Practice address
- 4 Mountain Ave.
Pembroke, MA 02359 - Phone
- (781) 294-4270
- Fax
- (781) 293-6307
- NPI assigned
- Aug 23, 2006
- Last updated
- Oct 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Daniel William Glynn, CO
- Title
- President
- Phone
- (781) 294-4270
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Customized Equipment (DME) | 332BC3200X | NU | Primary |
Addresses
Primary practice location
4 Mountain Ave.
Pembroke, MA 02359
Mailing address
4 Mountain Ave.
PO Box 1348
Pembroke, MA 02359
Phone (781) 294-4270
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 602057 | Other | MA | HARVARD PILGRIM |
| 272054 | Other | MA | BLUE CROSS/BLUE SHIELD |
| 1528475 | Medicaid | MA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthotist
- Pembroke, MA
- NPI 1295048767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224633600000",
"number": "1568579159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 MOUNTAIN AVE.",
"address_2": "PO BOX 1348",
"city": "PEMBROKE",
"state": "MA",
"postal_code": "02359",
"telephone_number": "781-294-4270",
"fax_number": "781-293-6307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 MOUNTAIN AVE.",
"city": "PEMBROKE",
"state": "MA",
"postal_code": "02359",
"telephone_number": "781-294-4270",
"fax_number": "781-293-6307"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLYNN ORTHOPEDIC SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-23",
"last_updated": "2008-10-22",
"status": "A",
"authorized_official_last_name": "GLYNN",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "781-294-4270",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CO"
},
"taxonomies": [
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "602057",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "272054",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1528475",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pembroke, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.