Glenn Charles Goodrich, M.S

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

11599 Issued in OH

Practice address

34501 Aurora Rd Ste 305
Solon, OH 44139-3831

Phone

(440) 248-4825

Fax

(440) 248-5489

NPI assigned

Nov 18, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Glenn C Goodrich DDS Ms Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Solon, OH
  • NPI 1891813887
  NPD (past) Authorized official

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1578718672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34501 AURORA RD STE 305",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441393831",
            "telephone_number": "440-248-4825",
            "fax_number": "440-248-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34501 AURORA RD STE 305",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441393831",
            "telephone_number": "440-248-4825",
            "fax_number": "440-248-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODRICH",
        "first_name": "GLENN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "11599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Age Care
• Nosson S Goldfarb, MD
• Elizabeth Goldner, M.A., CCC-SLP
• Melissa A Goldsmith, PHD
• Beverly A. Goldstein, PH.D.
• Adam Morgan Gray, DMD
• Andrea Gray
• Terrance Gray Sr.
• Susan Greenwald
• Richard Wilson Gregory, D.D.S.

• Orthodontics and Dentofacial Orthopedics Dentistry in Solon, OH
• Providers in Solon, OH by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.

Verify at the official NPI Registry.