Cory Scanlon Glowczewski, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2011016321 Issued in MO

Practice address

4585 Washington St
Suite a-3
Florissant, MO 63033-5858

Phone

(314) 921-4333

Fax

(314) 921-8632

NPI assigned

Sep 27, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Harold John Scanlon DDS PC

  • Dentist
  • Saint Peters, MO
  • NPI 1679545404
  NPD (past)

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1972886836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 S SAINT PETERS PKWY",
            "address_2": "SUITE I",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633036354",
            "telephone_number": "636-441-1020",
            "fax_number": "636-441-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4585 WASHINGTON ST",
            "address_2": "SUITE A-3",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630335858",
            "telephone_number": "314-921-4333",
            "fax_number": "314-921-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOWCZEWSKI",
        "first_name": "CORY",
        "middle_name": "SCANLON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-27",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2011016321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A. Glaser, MD
• Angela Denise Glasper, LPN
• Jessica Gleason, PT
• Global Medical Supply LLC
• Katherine Lubell Glover-Collins, MD
• Sarah Ruth Goble, DPT
• Katelyn Gocal, FNP
• Bernard Godfrey Jr., LPC, CRADC
• Zeshan Gohar, MD
• Melvyn Ralph Goldberg, MD

• General Practice Dentistry in Florissant, MO
• Providers in Florissant, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.