Organization Active NPI

Glenn R Foreman, DDS.,LTD

  • Dentist
  • Scottsdale, AZ
National Provider Identifier
1811105406
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1887 Issued in AZ
Legal business name
GLENN R FOREMAN, DDS.,LTD
Practice address
8147 E Evans Rd Ste 1
Scottsdale, AZ 85260-3646
Phone
(480) 443-3552
Fax
(480) 443-8810
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Glenn R Foreman, DDSNPI 1558398255
Title
President
Phone
(480) 443-3552

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 1887 AZ Primary

Addresses

Primary practice location

8147 E Evans Rd Ste 1
Scottsdale, AZ 85260-3646

Mailing address

8147 E Evans Rd Ste 1
Scottsdale, AZ 85260-3646
Phone (480) 443-3552

National Provider Directory

National Provider Directory

Locations

8147 E Evans Rd
Ste 1
Scottsdale, AZ 85260
Phone (480) 443-3552

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811105406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8147 E EVANS RD STE 1",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603646",
            "telephone_number": "480-443-3552",
            "fax_number": "480-443-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8147 E EVANS RD STE 1",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603646",
            "telephone_number": "480-443-3552",
            "fax_number": "480-443-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN R FOREMAN, DDS.,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOREMAN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-443-3552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "1887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.