Active NPI
Irina Glazman, DDS
- Dentist
- West Hartford, CT
National Provider Identifier
1922328095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 009597
- Practice address
- 836 Farmington Ave
Suite 105
West Hartford, CT 06119-1505 - Phone
- (860) 231-8077
- NPI assigned
- Jun 10, 2010
- Last updated
- Jun 10, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 009597 | CT | Primary |
Addresses
Primary practice location
836 Farmington Ave
Suite 105
West Hartford, CT 06119-1505
Mailing address
350 Rimmon Hill Rd
Beacon Falls, CT 06403-1554
Phone (203) 232-6787
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
| License | State | Type | Specialty |
|---|---|---|---|
| 009597 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276128000000",
"number": "1922328095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 RIMMON HILL RD",
"city": "BEACON FALLS",
"state": "CT",
"postal_code": "064031554",
"telephone_number": "203-232-6787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 FARMINGTON AVE",
"address_2": "SUITE 105",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061191505",
"telephone_number": "860-231-8077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLAZMAN",
"first_name": "IRINA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-10",
"last_updated": "2010-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "009597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.