Active NPI
Glenda S. Lloren, D.M.D.
- General Practice Dentistry
- Redwood City, CA
National Provider Identifier
1790846996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 42849
- Practice address
- Western Dental
975 Veterans Blvd.
Redwood City, CA 94063 - Phone
- (650) 365-8900
- NPI assigned
- Dec 12, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 42849 | CA | Primary |
Addresses
Primary practice location
Western Dental
975 Veterans Blvd.
Redwood City, CA 94063
Mailing address
505 Cypress Point Dr Unit 7
Mountain View, CA 94043-4819
Phone (650) 961-7384
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42849 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Dental Services, Inc. | General Practice | Past | Accepting new patients |
Interoperability endpoints
- glloren@direct.westerndental.com
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.
-
- General Practice Dentistry
- Redwood City, CA
- NPI 1639221484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790846996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 CYPRESS POINT DR UNIT 7",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940434819",
"telephone_number": "650-961-7384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WESTERN DENTAL",
"address_2": "975 VETERANS BLVD.",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "94063",
"telephone_number": "650-365-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LLOREN",
"first_name": "GLENDA",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "42849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.