Individual provider Active NPI

Glenn Raymond Hardin III

  • Peer Specialist
  • Dayton, OH
National Provider Identifier
1912834375
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
APS.007298 Issued in OH
Practice address
8044 Montgomery Rd.
Suite 120
Dayton, OH 45405-2346
Phone
(586) 850-4435
NPI assigned
May 7, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X APS.007298 OH Primary

Addresses

Primary practice location

8044 Montgomery Rd.
Suite 120
Dayton, OH 45405-2346

Mailing address

8044 Montgomery Rd Ste 120
Cincinnati, OH 45236-2919
Phone (513) 607-5128

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
APS.007298OHMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Radley Health Inc Multi-Specialty PastSince Mar 1, 2025 Accepting new patients

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": "1778112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1912834375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8044 MONTGOMERY RD STE 120",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362919",
            "telephone_number": "513-607-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8044 MONTGOMERY RD.",
            "address_2": "SUITE 120",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454052346",
            "telephone_number": "586-850-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "GLENN",
        "middle_name": "RAYMOND",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-07",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.007298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.