Active NPI
Duane D Glasner, M.D.
- Family Medicine Physician
- Rolla, NC
National Provider Identifier
1891724902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2798
- Practice address
- 114 NE 3Rd St
Rolla, NC 58367-0699 - Phone
- (701) 477-3111
- Fax
- (701) 477-6342
- NPI assigned
- Jul 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2798 | ND | Primary |
Addresses
Primary practice location
114 NE 3Rd St
Rolla, NC 58367-0699
Mailing address
PO Box 699
Rolla, ND 58367-0699
Phone (701) 477-3111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12590 | Medicaid | ND |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rolla Clinic, P.C. | Family Medicine | Past | Accepting new patients |
| Presentation Medical Center | Past | Accepting new patients |
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.
-
- Medicare Defined Swing Bed Hospital Unit
- Rolla, ND
- NPI 1619033917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891724902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 699",
"city": "ROLLA",
"state": "ND",
"postal_code": "583670699",
"telephone_number": "701-477-3111",
"fax_number": "701-477-6342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 NE 3RD ST",
"city": "ROLLA",
"state": "NC",
"postal_code": "583670699",
"telephone_number": "701-477-3111",
"fax_number": "701-477-6342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASNER",
"first_name": "DUANE",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ND",
"license": "2798",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12590",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.