1. Home
  2. Directory
  3. California
  4. Glendale
  5. Dentist
  6. NPI Profile

DR. GLENN STEPHEN ROEDER D.D.S.
NPI 1164572939
Dentist - Periodontics in Glendale, CA

Active since January 11, 2007PECOS Enrolled
230 N MARYLAND AVE, GLENDALE, CA 91206(310) 739-5579 Get Directions Write a Review

NPPES record last updated: April 1, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Glenn Stephen Roeder D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GLENN STEPHEN ROEDER D.D.S. (NPI 1164572939) is an individual periodontics provider in Glendale, California, licensed in California (30624) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164572939
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. GLENN STEPHEN ROEDERCredential: D.D.S.
Location Address230 N MARYLAND AVEGlendale, CA 91206-4261
Mailing AddressPo Box 67827Los Angeles, CA 90067-2806 · (310) 739-5579
Phone(310) 739-5579
Sole ProprietorYes
Enumeration DateJanuary 11, 2007
Last NPPES UpdateApril 1, 2009
✔ NPI 1164572939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 30624
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
230 N MARYLAND AVE, Glendale, CA 91206
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Glenn Stephen Roeder D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91206 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LYLA A. GAZARIAN-BOUSTANI D.D.S.
Dentist (Endodontics)
230 N MARYLAND AVE, SUITE 206
GLENDALE, CA 91206
Los Angeles County (818) 547-2804
DR. MATTHEW NABI MOADEL DDS MSD
Dentist (Orthodontics and Dentofacial Orthopedics)
230 N MARYLAND AVE, #206
GLENDALE, CA 91206
Los Angeles County (818) 547-2804
V A HALAJIAN DENTAL CORPORATION
Dentist (Endodontics)
230 N MARYLAND AVE, SUITE 206
GLENDALE, CA 91206
Los Angeles County (818) 547-2804
DR. LAUREN DANIELLA ZIMMERLI D.C.
Chiropractor
230 N MARYLAND AVE, SUITE 106
GLENDALE, CA 91206
Los Angeles County (818) 241-1066
DR. GABRIEL T ASLANIAN DDS MD
Dentist (Oral and Maxillofacial Surgery)
230 N MARYLAND AVE, #101
GLENDALE, GA 91206
Los Angeles County (818) 247-3317
ADJUSTED LIFE CHIROPRACTIC, DR. KRISTY ZINNES, INC
Chiropractor
230 N MARYLAND AVE, 108
GLENDALE, CA 91206
Los Angeles County (818) 244-9730
MONTROSE HOME HEALTHCARE INC
Home Health
230 N MARYLAND AVE, STE 203
GLENDALE, CA 91206
Los Angeles County (818) 545-0211
MS. NANSI MANOKIAN M.A
Marriage & Family Therapist
230 N MARYLAND AVE, SUITE 303
GLENDALE, CA 91206
Los Angeles County (818) 281-9157

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenn Roeder's NPI number?

The NPI number for Glenn Roeder is 1164572939. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Glenn Roeder located?

Glenn Roeder practices at 230 N Maryland Ave, Glendale, CA 91206. The listed phone number is (310) 739-5579.

What is Glenn Roeder's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Glenn Roeder enrolled in Medicare?

Yes. Glenn Roeder is registered in the Medicare PECOS enrollment system.

What insurance does Glenn Roeder accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Glenn Roeder as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Glenn Roeder was last updated on April 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.