DR. JEREMIAH J GLOSENGER D.D.S.
NPI 1750582300
Dentist - Oral and Maxillofacial Surgery in Minot, ND

Active since May 30, 2007PECOS Enrolled
2615 ELK DR, SUITE 3, MINOT, ND 58701(701) 852-3421 Get Directions Write a Review

NPPES record last updated: December 21, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jeremiah J Glosenger D.d.s. NPPES

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

DR. JEREMIAH J GLOSENGER D.D.S. (NPI 1750582300) is an individual oral and maxillofacial surgery provider in Minot, North Dakota, licensed in North Dakota (2093) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750582300
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JEREMIAH J GLOSENGERCredential: D.D.S.
Location Address2615 ELK DR, SUITE 3Minot, ND 58701-1200
Mailing Address2615 Elk Dr Ste 3Minot, ND 58701-1200 · (701) 852-3421
Sole ProprietorNo
Enumeration DateMay 30, 2007
Last NPPES UpdateDecember 21, 2019
NPI 1750582300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in ND · 2093 Licensed in OH · 30.022879
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

2615 ELK DR, Minot, ND 58701

Other Identifiers 2

Medicaid15919ND
Medicaid41573ND

Accepted Insurance

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. Jeremiah J Glosenger D.d.s. 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 December 23, 2019 through December 23, 2025.

Opt-Out Effective DateDecember 23, 2019
Opt-Out In Effect ThroughDecember 23, 2025Opt-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 58701 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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 5

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

Dentist (Orthodontics and Dentofacial Orthopedics)
2615 ELK DR, STE 2
MINOT, ND 58701
Dentist (Oral and Maxillofacial Surgery)
2615 ELK DR, STE 3
MINOT, ND 58701
Dentist (General Practice)
2615 ELK DR, SUITE 2
MINOT, ND 58701
Dentist (Oral and Maxillofacial Surgery)
2615 ELK DR, SUITE 3
MINOT, ND 58701
Dentist (General Practice)
2615 ELK DR
MINOT, ND 58701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750582300, enumerated as an "individual" on May 30, 2007.

The provider is located at 2615 ELK DR SUITE 3 MINOT, ND 58701 and the phone number is (701) 852-3421.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota, Florida. Please consult your insurance carrier or call the provider to verify.