Individual provider Active NPI

Glenn V Hemberger, D.D.S.

  • Pediatric Dentistry
  • Overland Park, KS
National Provider Identifier
1689893737
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
4921 Issued in KS
Practice address
8575 W 110TH St Ste 310
Overland Park, KS 66210-2774
Phone
(913) 345-0331
Fax
(913) 345-2601
NPI assigned
Apr 25, 2007
Last updated
Apr 3, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 4921 KS Primary

Addresses

Primary practice location

8575 W 110TH St Ste 310
Overland Park, KS 66210-2774

Mailing address

8575 W 110TH St Ste 310
Overland Park, KS 66210-2774
Phone (913) 345-0331

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4921KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Glenn V. Hemberger, DDS, Ms, CHTD Pediatric Dentistry Past Accepting new patients

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": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1689893737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8575 W 110TH ST STE 310",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102774",
            "telephone_number": "913-345-0331",
            "fax_number": "913-345-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8575 W 110TH ST STE 310",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102774",
            "telephone_number": "913-345-0331",
            "fax_number": "913-345-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMBERGER",
        "first_name": "GLENN",
        "middle_name": "V",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KS",
            "license": "4921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.