Dawn K Glover, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DD3868 Issued in NM

Practice address

2610 Trinity Dr Ste 3
Los Alamos, NM 87544-2321

Phone

(505) 626-5666

Fax

(505) 661-0225

NPI assigned

Mar 30, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• DKN LLC

  • General Practice Dentistry
  • Los Alamos, NM
  • NPI 1003687211
  NPD Authorized official
• Dr. Jack O. Smalley DSS

  • General Practice Dentistry
  • Farmington, NM
  • NPI 1063989531
  NPD (past)

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1699041905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 TRINITY DR STE 3",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442321",
            "telephone_number": "505-662-5666",
            "fax_number": "505-661-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 TRINITY DR STE 3",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442321",
            "telephone_number": "505-626-5666",
            "fax_number": "505-661-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "DAWN",
        "middle_name": "K",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WV",
            "license": "3998",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD3868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Roger Gartz, DDS
• Edward Gellis
• Donna Marie Giaquinto, LPCC
• Kelly Christine Gill, LMT
• Susan M Gisler, CNP
• GLS Clinical Social Work LLC
• Laurence Goddard, MD
• Tina R Goldsmith, PH.D., BCBA-D
• Autumn Marie Gonzales
• Naomi Rae Gonzales

• Dentist in Los Alamos, NM
• Providers in Los Alamos, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.