Organization Active NPI

Gloria McMenamin DDS,DMD,PA

  • Dentist
  • Towson, MD
National Provider Identifier
1871702738
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11560 Issued in MD
Legal business name
GLORIA MCMENAMIN DDS,DMD,PA
Practice address
7600 Osler Dr
Suite 115
Towson, MD 21204-7735
Phone
(410) 339-5858
Fax
(410) 339-3838
NPI assigned
May 21, 2007
Last updated
Mar 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
Dr. Gloria Anne J McMenamin, DDSNPI 1598770919
Title
President
Phone
(410) 339-5858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11560 MD Primary

Addresses

Primary practice location

7600 Osler Dr
Suite 115
Towson, MD 21204-7735

Mailing address

7600 Osler Dr
Suite 115
Towson, MD 21204-7735
Phone (410) 339-5858

Other names 1

  • Gloria McMenamin DDS,PA Other name

National Provider Directory

National Provider Directory

Locations

7600 Osler Dr
Ste 115
Towson, MD 21204
Phone (410) 296-0040

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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1871702738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 OSLER DR",
            "address_2": "SUITE 115",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047735",
            "telephone_number": "410-339-5858",
            "fax_number": "410-339-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 OSLER DR",
            "address_2": "SUITE 115",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047735",
            "telephone_number": "410-339-5858",
            "fax_number": "410-339-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIA MCMENAMIN DDS,DMD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "MCMENAMIN",
        "authorized_official_first_name": "GLORIA ANNE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-339-5858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "11560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gloria McMenamin DDS,PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.