Individual provider Active NPI

Karrie Marie Glasgow, D.D.S

  • General Practice Dentistry
  • Eagan, MN
National Provider Identifier
1871632026
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D12216 Issued in MN
Practice address
3440 Federal Dr Ste 240
Eagan, MN 55122-3523
Phone
(651) 994-8822
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D12216 MN Primary

Addresses

Primary practice location

3440 Federal Dr Ste 240
Eagan, MN 55122-3523

Mailing address

3440 Federal Dr Ste 240
Eagan, MN 55122-3523
Phone (651) 983-7279

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

LicenseStateTypeSpecialty
D12216MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Glasgow Family & Cosmetic Dentistry General Practice CurrentSince Feb 18, 2024 Accepting new patients

Locations

3440 Federal Dr
Ste 240
Eagan, MN 55122
Phone (651) 994-8822

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1871632026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 FEDERAL DR STE 240",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223523",
            "telephone_number": "651-983-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 FEDERAL DR STE 240",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223523",
            "telephone_number": "651-994-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASGOW",
        "first_name": "KARRIE",
        "middle_name": "MARIE",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.