Active NPI
Harvey a Glick DDS PC
- Preferred Provider Organization
- Chesapeake, VA
National Provider Identifier
1003108333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- 0401003350
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.