Organization Active NPI

Harvey a Glick DDS PC

  • Preferred Provider Organization
  • Chesapeake, VA
National Provider Identifier
1003108333
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
0401003350 Issued in VA
Legal business name
HARVEY A GLICK DDS PC
Practice address
528 Albemarle Drive
Chesapeake, VA 23322
Phone
(757) 547-5105
Fax
(757) 547-5804
NPI assigned
May 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Pamela A Bigelow
Title
Office Manager
Phone
(757) 547-5105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 0401003350 VA Primary

Addresses

Primary practice location

528 Albemarle Drive
Chesapeake, VA 23322

Mailing address

528 Albemarle Drive
Chesapeake, VA 23322
Phone (757) 547-5105

National Provider Directory

National Provider Directory

Locations

528 Albemarle Dr
Chesapeake, VA 23322
Phone (757) 547-5105

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1003108333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 ALBEMARLE DRIVE",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23322",
            "telephone_number": "757-547-5105",
            "fax_number": "757-547-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 ALBEMARLE DRIVE",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "23322",
            "telephone_number": "757-547-5105",
            "fax_number": "757-547-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEY A GLICK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "BIGELOW",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "757-547-5105",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "VA",
            "license": "0401003350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.