Timothy Michael Gleason, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5868 Issued in NE

Practice address

512 Lincoln St
Beatrice, NE 68310-2932

Phone

(402) 228-3119

Fax

(402) 228-3350

NPI assigned

May 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gleason Family Dental Clinic, P.C.

  • General Practice Dentistry
  • Beatrice, NE
  • NPI 1518183680
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063621563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683100547",
            "telephone_number": "402-228-3119",
            "fax_number": "402-228-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 LINCOLN ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683102932",
            "telephone_number": "402-228-3119",
            "fax_number": "402-228-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEASON",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "5868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "460496905-13",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nikita Gideon
• Gleason Family Dental Clinic, P.C.
• Daniel Drew Gleason, DDS
• David Michael Gleason, DDS
• Tara Gleason, M.S. CCC-SLP
• David A Gloor, M.D.
• Annie Goosen
• Rachel Goracke, LMT
• Stephanie Graves
• Heidi Gregory

• General Practice Dentistry in Beatrice, NE
• Providers in Beatrice, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.