Individual provider Active NPI

Glenn Curtis, DDS

  • Dentist
  • Plymouth, MI
National Provider Identifier
1891032546
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901014186 Issued in MI
Practice address
358 N Main St
Plymouth, MI 48170-1237
Phone
(734) 453-3160
Fax
(734) 453-8223
NPI assigned
Jan 14, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901014186 MI Primary

Addresses

Primary practice location

358 N Main St
Plymouth, MI 48170-1237

Mailing address

358 N Main St
Plymouth, MI 48170-1237
Phone (734) 453-3160

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
2901014186MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Glenn R. Curtis, D.D.S.,P.L.L.C. CurrentSince Nov 15, 2020 Accepting new patients
Michigan Mainstreet Dentistry Ann Arbor Dentist Current Accepting new patients

Locations

358 N Main St
Plymouth, MI 48170
Phone (734) 453-3160

Organizations & group practices 2

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": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1891032546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 N MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701237",
            "telephone_number": "734-453-3160",
            "fax_number": "734-453-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 N MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701237",
            "telephone_number": "734-453-3160",
            "fax_number": "734-453-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURTIS",
        "first_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901014186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.