Individual provider Active NPI

Cherren Glover

  • Dental Hygienist
  • Brookhaven, PA
National Provider Identifier
1619678232
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH075073 Issued in PA
Practice address
4 W Brookhaven Rd
Brookhaven, PA 19015-1629
Phone
(610) 872-7200
NPI assigned
Mar 10, 2023
Last updated
Mar 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH075073 PA Primary

Addresses

Primary practice location

4 W Brookhaven Rd
Brookhaven, PA 19015-1629

Mailing address

7511 Chelwynde Ave
Philadelphia, PA 19153-1806
Phone (267) 349-6285

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
DH075073PAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Access Dental Center Inc PastSince Mar 12, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cherren.glover.p1@direct.projecthome.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1619678232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7511 CHELWYNDE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191531806",
            "telephone_number": "267-349-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 W BROOKHAVEN RD",
            "city": "BROOKHAVEN",
            "state": "PA",
            "postal_code": "190151629",
            "telephone_number": "610-872-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "CHERREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "PA",
            "license": "DH075073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.