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MICHAEL GLENN
NPI 1902489891
Dentist - Endodontics in Carlsbad, CA

Active since April 29, 2021PECOS Enrolled
6971 EL CAMINO REAL, CARLSBAD, CA 92009(760) 688-0791 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 8, 2026, Apr 29, 2021 (2 updates tracked since 2021).

About Michael Glenn NPPES

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

MICHAEL GLENN (NPI 1902489891) is an individual endodontics provider in Carlsbad, California, licensed in California (DDS112542) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902489891
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameMICHAEL GLENN
Location Address6971 EL CAMINO REALCarlsbad, CA 92009-4114
Mailing Address4499 Ohio St Apt 251San Diego, CA 92116-4596 · (913) 486-2627
Phone(760) 688-0791
Sole ProprietorNo
Enumeration DateApril 29, 2021
Last NPPES UpdateApril 8, 20262 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1902489891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in CA · DDS112542
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6971 EL CAMINO REAL, Carlsbad, CA 92009
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Glenn 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 92009 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 2

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

GREGORY L WAKEMAN DO INC
Family Medicine
6971 EL CAMINO REAL, SUITE 101
CARLSBAD, CA 92009
San Diego County (760) 603-3221
GREGORY LANCE WAKEMAN DO
Family Medicine
6971 EL CAMINO REAL, SUITE 101
CARLSBAD, CA 92009
San Diego County (760) 603-3221

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 Michael Glenn's NPI number?

The NPI number for Michael Glenn is 1902489891. It was assigned to this individual provider in the NPPES registry on April 29, 2021.

Where is Michael Glenn located?

Michael Glenn practices at 6971 El Camino Real, Carlsbad, CA 92009. The listed phone number is (760) 688-0791.

What is Michael Glenn's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Michael Glenn enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Michael Glenn was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.