NPIMap

Organization Active NPI

Glenn S. Parry, DMD, PC

  • General Practice Dentistry
  • Green River, WY
National Provider Identifier
1639375975
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
670 Issued in WY
Legal business name
GLENN S. PARRY, DMD, PC
Practice address
220 Shoshone Ave
Green River, WY 82935-5468
Phone
(307) 875-7770
NPI assigned
Jun 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Authorized official

Name
Dr. Glenn S. Parry, D.M.D.NPI 1235574849
Title
President
Phone
(307) 875-7770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 670 WY Primary

Addresses

Primary practice location

220 Shoshone Ave
Green River, WY 82935-5468

Mailing address

PO Box 1002
Green River, WY 82935-1002
Phone (307) 875-7770

National Provider Directory

National Provider Directory

Locations

220 Shoshone Ave
Green River, WY 82935
Phone (307) 875-7770

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1639375975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1002",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829351002",
            "telephone_number": "307-875-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SHOSHONE AVE",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829355468",
            "telephone_number": "307-875-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN S. PARRY, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "PARRY",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-875-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green River, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.