Individual provider Active NPI

Tadman Glossner, D.D.S.

  • Dentist
  • Camp Hill, PA
National Provider Identifier
1841464906
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS030329L Issued in PA
Practice address
19 S 22ND St
Camp Hill, PA 17011-4603
Phone
(717) 737-7422
NPI assigned
Apr 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS030329L PA Primary

Addresses

Primary practice location

19 S 22ND St
Camp Hill, PA 17011-4603

Mailing address

19 S 22ND St
Camp Hill, PA 17011-4603
Phone (717) 737-7422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20150323001630 PA Order and Referring Only - DentistPractitioner - Dentist 0648597195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS030329LPAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Marinak & Glossner DDS PC Dentist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1841464906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 S 22ND ST",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114603",
            "telephone_number": "717-737-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 S 22ND ST",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114603",
            "telephone_number": "717-737-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOSSNER",
        "first_name": "TADMAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS030329L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.