Individual provider Active NPI

Ronald Glenn Adleman, D.D.S.

  • Dentist
  • Glen Allen, VA
National Provider Identifier
1023306487
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401004611 Issued in VA
Practice address
11549 Nuckols Rd Ste a
Glen Allen, VA 23059-5664
Phone
(804) 527-2982
NPI assigned
Jul 19, 2011
Last updated
Jul 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401004611 VA Primary

Addresses

Primary practice location

11549 Nuckols Rd Ste a
Glen Allen, VA 23059-5664

Mailing address

11800 Fairlington LN
Midlothian, VA 23113-2103
Phone (804) 350-5842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401004611VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Professionals of Virginia, P.C. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311033600000",
    "number": "1023306487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 FAIRLINGTON LN",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132103",
            "telephone_number": "804-350-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11549 NUCKOLS RD STE A",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595664",
            "telephone_number": "804-527-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADLEMAN",
        "first_name": "RONALD",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401004611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.