DR. GLENN LOUIS DEWEIRDT JR. DDS
NPI 1659403830
Dentist in Woodridge, IL

Q: What is Glenn Deweirdt's NPI number?

The NPI number for Glenn Deweirdt is 1659403830. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Q: What is Glenn Deweirdt's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: Is Glenn Deweirdt enrolled in Medicare?

No. Glenn Deweirdt has opted out of Medicare through March 31, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Glenn Deweirdt was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since March 12, 2007Opted out of Medicare · through Mar 31, 2027

7409 WOODRIDGE DR, SUITE B, WOODRIDGE, IL 60517(630) 810-1199(630) 810-9922 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Glenn Louis Deweirdt Jr. Dds NPPES

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

DR. GLENN LOUIS DEWEIRDT JR. DDS (NPI 1659403830) is an individual dentist in Woodridge, Illinois and active in the NPI registry since March 2007. He has opted out of Medicare through March 31, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1659403830

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. GLENN LOUIS DEWEIRDT JR.Credential: DDS

Location Address7409 WOODRIDGE DR, SUITE BWoodridge, IL 60517-2249

Mailing Address7409 Woodridge Dr, Suite BWoodridge, IL 60517-2249 · (630) 810-1199 · Fax (630) 810-9922

Phone(630) 810-1199

Fax(630) 810-9922

Sole ProprietorNo

Enumeration DateMarch 12, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1659403830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

7409 WOODRIDGE DR, Woodridge, IL 60517

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Glenn Louis Deweirdt Jr. Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 31, 2017 through March 31, 2027.

Opt-Out Effective DateMarch 31, 2017

Opt-Out In Effect ThroughMarch 31, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60517 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

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 12

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

ANTHONY M FERNANDEZ M.D.

Family Medicine

7409 WOODRIDGE DR
WOODRIDGE, IL 60517

Dupage County (630) 241-1000

RENUKA J KALVANI PT

Physical Therapist

7409 WOODRIDGE DR, F
WOODRIDGE, IL 60517

Dupage County (630) 545-3535

MELISSA BUTZINE PT, DPT, CMPT

Physical Therapist

7409 WOODRIDGE DR
WOODRIDGE, IL 60517

Dupage County (630) 469-9200

KEVIN M GOOD

Physical Therapy Assistant

7409 WOODRIDGE DR
WOODRIDGE, IL 60517

Dupage County (630) 967-2000

SELECT PHYSICAL THERAPY ORTHOPEDIC SERVICES INC

Clinic/Center (Physical Therapy)

7409 WOODRIDGE DR
WOODRIDGE, IL 60517

Dupage County (630) 810-1337

DR. CURTIS WAYNE BEAN D.C.

Chiropractor

7409 WOODRIDGE DR, SUITE C
WOODRIDGE, IL 60517

Dupage County (630) 963-1212

HOBSON DENTAL ASSOCIATES

Dentist (General Practice)

7409 WOODRIDGE DR, SUITE B
WOODRIDGE, IL 60517

Dupage County (630) 810-1199

GLENN NELSON MD

Family Medicine

7409 WOODRIDGE DR
WOODRIDGE, IL 60517

Dupage County (630) 241-1000

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 Deweirdt's NPI number?

The NPI number for Glenn Deweirdt is 1659403830. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Where is Glenn Deweirdt located?

Glenn Deweirdt practices at 7409 Woodridge Dr Suite B, Woodridge, IL 60517. The listed phone number is (630) 810-1199.

What is Glenn Deweirdt's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Glenn Deweirdt enrolled in Medicare?

No. Glenn Deweirdt has opted out of Medicare through March 31, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Glenn Deweirdt was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.