Individual provider Active NPI

Gloria Anne J McMenamin, DDS

  • General Practice Dentistry
  • Towson, MD
National Provider Identifier
1598770919
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11560 Issued in MD
Practice address
8501 Lasalle Rd
Suite 309
Towson, MD 21286-5914
Phone
(410) 339-5858
Fax
(410) 339-3838
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

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 11560 MD Primary

Addresses

Primary practice location

8501 Lasalle Rd
Suite 309
Towson, MD 21286-5914

Mailing address

8501 Lasalle Rd
Suite 309
Towson, MD 21286-5914
Phone (410) 339-5858

Other names 1

  • Dr. Gloria A McMenamin Professional name

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

State licenses

LicenseStateTypeSpecialty
11560MDMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598770919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 LASALLE RD",
            "address_2": "SUITE 309",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865914",
            "telephone_number": "410-339-5858",
            "fax_number": "410-339-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 LASALLE RD",
            "address_2": "SUITE 309",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865914",
            "telephone_number": "410-339-5858",
            "fax_number": "410-339-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMENAMIN",
        "first_name": "GLORIA ANNE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "11560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLORIA",
            "last_name": "MCMENAMIN",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "DDS/DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Towson, MD

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.