Howard Glenn, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS3094 Issued in TN

Practice address

425 E Shelby Dr
Memphis, TN 38109-6770

Phone

(901) 789-4891

Fax

(901) 789-2542

NPI assigned

Nov 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Enrolled in TN

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

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851461867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E SHELBY DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381096770",
            "telephone_number": "901-789-4891",
            "fax_number": "901-789-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E SHELBY DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381096770",
            "telephone_number": "901-789-4891",
            "fax_number": "901-789-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "HOWARD",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS3094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ptosha Glass
• Andrew Tyler Glassell, DDS
• Brenton Edward Glassell, D.D.S., M.D.S.
• Marion Gleadhill
• Vivian L Gleason
• Martha E Glenn, MD
• Mary Louise Glenn, RPH
• Montricia Renese Glenn, OTR
• Vonita Michelle Glenn
• John Patrick Gleysteen, MD

• General Practice Dentistry in Memphis, TN
• Providers in Memphis, TN by specialty
• General Practice Dentistry in Tennessee

• 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.
• 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.