Organization Active NPI

Dennis N Glascock, DO LLC

  • Clinical Cardiac Electrophysiology Physician
  • Saint Charles, MO
National Provider Identifier
1619929726
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
Legal business name
DENNIS N GLASCOCK, DO LLC
Practice address
330 1St Capitol Dr
Ste 270
Saint Charles, MO 63301-2835
Phone
(636) 916-5551
NPI assigned
May 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dennis N Glascock, D.O.
Title
President/Owner
Phone
(636) 916-5551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X Primary

Addresses

Primary practice location

330 1St Capitol Dr
Ste 270
Saint Charles, MO 63301-2835

Mailing address

530 Vance Rd
Valley Park, MO 63088-1527
Phone (636) 225-5445

National Provider Directory

National Provider Directory

Locations

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

330 1st Capitol Dr
Ste 270
Saint Charles, MO 63301
Phone (636) 225-5445

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619929726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 VANCE RD",
            "city": "VALLEY PARK",
            "state": "MO",
            "postal_code": "630881527",
            "telephone_number": "636-225-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 1ST CAPITOL DR",
            "address_2": "STE 270",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012835",
            "telephone_number": "636-916-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS N GLASCOCK, DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLASCOCK",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "636-916-5551",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.