Glendaly Fernandez, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31663 Issued in TX

Legal business name

GLENDALY FERNANDEZ, PLLC

Practice address

2515 E Elliott St
Wichita Falls, TX 76308-3708

Phone

(940) 696-9701

NPI assigned

Jul 1, 2016

Last updated

Jul 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Glendaly Fernandez, DDSNPI 1528224458

Title

Owner/Provider

Phone

(940) 696-9701

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Glendaly Fernandez, DDS

  • Dentist
  • Long Island City, NY
  • NPI 1528224458
  NPD (past) Authorized official
• Ryan Fort, DDS

  • Dentist
  • Whitesboro, TX
  • NPI 1821473620
  NPD (past)
• Medea Mohseni

  • Dentist
  • Wichita Falls, TX
  • NPI 1699451633
  NPD (past)

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467331200000",
    "number": "1629420666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 E ELLIOTT ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763083708",
            "telephone_number": "940-696-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 E ELLIOTT ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763083708",
            "telephone_number": "940-696-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALY FERNANDEZ, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-01",
        "last_updated": "2016-07-01",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "GLENDALY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "940-696-9701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerald Evan Giles, MD
• Susan Gail Gillis
• Connie Noelle Ginnings, RBT
• Katelyn Girdley, APRN
• Susan R Gladden, RNFA
• Glenister Medical Consulting
• Roland T Glenister, DO
• Global Sleep Wichita Falls LP
• Global Sleep Wichita Falls LP (Global Sleep)
• Cameron Godfrey, M.D.

• General Practice Dentistry in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.