Dr Glenn Losasso DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN10790 Issued in FL

Legal business name

DR GLENN LOSASSO DDS

Practice address

2020 Highway A1A
Suite 105
Indian Harbour BCH, FL 32937

Phone

(321) 777-8225

Fax

(321) 777-4121

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Glenn J Losasso, DDSNPI 1649684697

Title

Owner

Phone

(321) 777-8225

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glenn Losasso, D.D.S

  • Dentist
  • Indian Harbour Beach, FL
  • NPI 1649684697
  NPD (past) Authorized official

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912013129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 HIGHWAY A1A",
            "address_2": "SUITE 105",
            "city": "INDIAN HARBOUR BCH",
            "state": "FL",
            "postal_code": "32937",
            "telephone_number": "321-777-8225",
            "fax_number": "321-777-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 HIGHWAY A1A",
            "address_2": "SUITE 105",
            "city": "INDIAN HARBOUR BCH",
            "state": "FL",
            "postal_code": "32937",
            "telephone_number": "321-777-8225",
            "fax_number": "321-777-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GLENN LOSASSO DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOSASSO",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-777-8225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN10790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.