Yvette O Glina, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21031 Issued in MA

Practice address

1 Sheldon Rd
62 Humphrey Street Entrance
Marblehead, MA 01945-2024

Phone

(781) 631-3400

Fax

(781) 631-3464

NPI assigned

Feb 22, 2007

Last updated

Jan 13, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 15, 2016 through Oct 15, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Yvette Glina, DDS, LLC

  • Dental Clinic/Center
  • Marblehead, MA
  • NPI 1366624306
  NPD (past) Authorized official

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1699800391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PLEASANT ST",
            "address_2": "UNIT 202",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019453365",
            "telephone_number": "781-631-3400",
            "fax_number": "781-631-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHELDON RD",
            "address_2": "62 HUMPHREY STREET ENTRANCE",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019452024",
            "telephone_number": "781-631-3400",
            "fax_number": "781-631-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLINA",
        "first_name": "YVETTE",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Geraty, M.D.
• Beth S. German, LICSW
• Darcy Gilbo
• Anne Caroline Gilbride, D.C.
• Janice Glick, MSW, LICSW
• Jeffrey Samuel Gold, MD
• Sarah Jane Gold, L.M.H.C.
• Rachelle L Goldberg, LMFT
• Matthew Robert Goodnow, PSY.D, HSP
• Jill A. Grace Hersch, L.C.S.W.

• General Practice Dentistry in Marblehead, MA
• Providers in Marblehead, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.