Organization Active NPI

Glogas Family Dentistry, L.L.C.

  • General Practice Dentistry
  • Fort Wayne, IN
National Provider Identifier
1013099464
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GLOGAS FAMILY DENTISTRY, L.L.C.
Practice address
919 Florence Ave
Fort Wayne, IN 46808-2354
Phone
(260) 426-8805
Fax
(260) 424-1028
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Geoffrey Louis Glogas, D.D.S.NPI 1942235361
Title
Member
Phone
(260) 426-8805

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

919 Florence Ave
Fort Wayne, IN 46808-2354

Mailing address

919 Florence Ave
Fort Wayne, IN 46808-2354
Phone (260) 426-8805

National Provider Directory

National Provider Directory

Locations

919 Florence Ave
Fort Wayne, IN 46808
Phone (260) 426-8805

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013099464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 FLORENCE AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468082354",
            "telephone_number": "260-426-8805",
            "fax_number": "260-424-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 FLORENCE AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468082354",
            "telephone_number": "260-426-8805",
            "fax_number": "260-424-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOGAS FAMILY DENTISTRY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLOGAS",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "260-426-8805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.