Glenn A Hoort, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901000884 Issued in MI

Practice address

854 S. Washington Avenue
Suite 430
Holland, MI 49423-7141

Phone

(616) 392-6117

Fax

(616) 392-1920

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Phares Family Dentistry

  • General Practice Dentistry
  • Holland, MI
  • NPI 1245351592
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1629138607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 S. WASHINGTON AVENUE",
            "address_2": "SUITE 430",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494237141",
            "telephone_number": "616-392-6117",
            "fax_number": "616-392-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 S. WASHINGTON AVENUE",
            "address_2": "SUITE 430",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494237141",
            "telephone_number": "616-392-6117",
            "fax_number": "616-392-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOORT",
        "first_name": "GLENN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901000884",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MI",
            "license": "5901000884",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "485705000",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2115198",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINISTAR",
            "identifier": "480000546",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELDMI",
            "identifier": "4857005000",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather G Holt, LMSW
• Ruth Elaine Holthuis, NP
• Shelly Ann Honderd, LMSW
• Jaipal Hooda, RPH
• Rae Lynn Hooley, LPC
• Jon D Hop, M.D.
• Morgan A Hop, P.T.A.
• Hope & Wholeness Psychology Center, LLC
• Hope College Health Center
• Hope Heals Counseling, LLC

• Podiatrist in Holland, MI
• Providers in Holland, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.