GLENN RICHARD GOODRICH (NPI# 1770624884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770624884 |
| Entity Type | Individual |
| Full Name | GLENN RICHARD GOODRICH |
| Credential | DDS,MSD. |
| Practice Address |
54 Philomethian St Chagrin Falls OH 44022-2926 |
| Practice Telephone | 4402479444 |
| Mailing Telephone | 4402479444 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
30-018096 | OH | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447713086 | Glenn Goodrich IIi | Counselor | 77 E Columbus Ave Ste 210, Phoenix, AZ 85012-2351 | 2019-04-10 |
| 1578718672 | Glenn Charles Goodrich | Dentist | 34501 Aurora Rd Ste 305, Solon, OH 44139-3831 | 2008-11-18 |
| Street Address |
54 PHILOMETHIAN ST |
| City | CHAGRIN FALLS |
| State | OH |
| Zip Code | 44022-2926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567335 | Western Reserve Therapists, Inc. | Clinic/Center | 54 Philomethian St, Rear, Chagrin Falls, OH 44022-2926 | 2005-06-09 |
| 1508924192 | James T. Maier | Physical Therapist | 54 Philomethian St, Rear, Chagrin Falls, OH 44022-2926 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467896142 | Erin Campbell Fulchiero | Psychiatry & Neurology | 551 East Washington St., Chagrin Falls, OH 44022 | 2013-04-24 |
| 1154696052 | Mccall Ann Zupon | Counselor | 5000 Rockside Rd., Suite 310, Independenec, OH 44022 | 2012-03-12 |
| 1548414071 | Chagrin Falls Suburban Volunteer Firemens Association | Ambulance | 21 West Washington Street, Chagrin Falls, OH 44022 | 2008-11-11 |
| 1750530408 | Francisca Uduaku Onunaku | Nurse Practitioner | 45001 Mather Ln, Chagrin Falls, OH 44022 | 2008-09-17 |
| 1801001466 | Roger P Lee | Radiology | 325 Capital Hill Circle, Orange Village, OH 44022 | 2007-05-14 |
| 1477698280 | Miami Valley Anesthesia | Clinic/Center | 200 Industrial Pkwy, Suite 4, Chagrin Falls, OH 44022 | 2007-02-20 |
| 1285772327 | Village of Orange | Ambulance | 4600 Lander Road, Orange Village, OH 44022 | 2007-02-01 |
| 1811007636 | Alla Kirsch | Family Medicine | 5192 Chillicothe Road, Suite #101, South Russell, OH 44022 | 2006-08-30 |
| 1972612679 | Barbara Anne Bryndal | Counselor | 26 South Franklin St, Chagrin Falls, OH 44022 | 2006-08-29 |
| 1699287482 | Erin Cooper | Nurse Practitioner | 551 Washington St, Chagrin Falls, OH 44022 | 2017-11-01 |
| Find all providers in zip 44022 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114111226 | Sharon Ruth Schmahl | Dentist | 1186 Bell St., Chagrin Falls, OH 44022-4122 | 2007-08-31 |
| 1104857648 | David D Starr | Dentist | 8300 E Washington St, Chagrin Falls, OH 44023-4510 | 2006-07-05 |
| 1235453432 | Craig Michael Minich | Dentist | 8401 Chagrin Rd, Suite # 12, Chagrin Falls, OH 44023-4701 | 2010-03-17 |
| 1790957140 | David D. Starr Dmdms | Dentist | 8300 E Washington St, Chagrin Falls, OH 44023-4510 | 2008-03-26 |
| 1881780237 | Howard Eliot Kossoff | Dentist | 8401 Chagrin Rd, #12, Chagrin Falls, OH 44023-4701 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079424 | Alvaro Malaga | Dentist | 2228 N High St Apt 29, Columbus, OH 43201-4401 | 2020-09-24 |
| 1093345290 | Gruelle Ison Orthodontics LLC | Dentist | 9825 Colerain Ave Ste 300, Cincinnati, OH 45251-1554 | 2020-01-16 |
| 1679103865 | Gid Orthodontics LLC | Dentist | 6876 Cincinnati Dayton Rd Ste 104, Liberty Township, OH 45044-8898 | 2020-01-16 |
| 1487216842 | Betina Griens Porto | Dentist | 9601 Chester Avenue, Case Western Reserve School of Dental Medicine, Cleveland, OH 44106 | 2019-07-05 |
| 1497317465 | Jordan Aaron Roth | Dentist | 29001 Cedar Rd Ste 670, Lyndhurst, OH 44124-6501 | 2019-07-01 |
| 1407417140 | Rebecca Petts | Dentist | 9601 Chester Ave, Cleveland, OH 44106 | 2019-06-24 |
| 1386207884 | Shannon Candid Co. Ohio, P.a. | Dentist | 107 S High St Fl 2, Columbus, OH 43215-9436 | 2019-04-19 |
| 1164985784 | Seema S. Dhingra Dds Msd | Dentist | 2237 Grube St, Springfield, OH 45503-2642 | 2019-04-10 |
| 1972060408 | Blue Jackets Braces | Dentist | 1175 Columbus Pike, Delaware, OH 43015-2713 | 2019-02-20 |
| 1609348283 | Shirck Orthodontics | Dentist | 68 N High St Bldg D, New Albany, OH 43054-8091 | 2018-12-20 |
| Find all providers with the same taxonomy | ||||
| City | CHAGRIN FALLS |
| Zip Code | 44022 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.