Glenn Roeder, D.D.S

ActiveIndividual ProviderDentistry
NPI issued: January 11, 2007

Quick Facts

NPI Number
1164572939
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy1223P0300X — Dentistry
Phone
(310) 739-5579
StateCA

NPI Validation Status: Verified

Valid 10-digit NPI number (1164572939)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (January 11, 2007)
Data source: CMS NPPES

Provider Overview

GLENN ROEDER, D.D.S is a Dentistry provider based in Glendale, CA who has been registered with CMS since 2007. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1164572939
Provider TypeIndividual Provider
GenderMale
CredentialD.D.S
StatusActive
Enumeration DateJanuary 11, 2007

Practice Location

CityGlendale
StateCA
ZIP Code91206-4261
Phone(310) 739-5579

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code1223P0300X
License StateCA

Mailing Address

CityGlendale
StateCA
ZIP Code91206-4261
Phone(310) 739-5579
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1164572939 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1164572939for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1164572939 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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8,369
Dentistry Providers in the US

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People Also Ask

What is Glenn Roeder's NPI number?
Glenn Roeder's NPI number is 1164572939, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Glenn Roeder's NPI currently active?
Yes, Glenn Roeder's NPI status is Active as of the latest CMS NPPES database updates.
What does Glenn Roeder specialize in?
Glenn Roeder specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 1223P0300X.
Where does Glenn Roeder practice?
Glenn Roeder practices in Glendale, CA 91206-4261.
When was Glenn Roeder's NPI issued?
Glenn Roeder's NPI was issued on January 11, 2007.
What is Glenn Roeder's provider type?
Glenn Roeder is registered as an Individual Provider under CMS NPI Type 1.