Kenton Charles Gleichman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6867 Issued in IA

Practice address

3700 Westown Parkway
West Des Moines, IA 50266

Phone

(515) 225-6742

Fax

(515) 224-1560

NPI assigned

Nov 21, 2006

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 2

Medicare fee-for-service enrollment

Enrolled in IA

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

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124193552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 WESTOWN PARKWAY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "50266",
            "telephone_number": "515-225-6742",
            "fax_number": "515-224-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WESTOWN PARKWAY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "50266",
            "telephone_number": "515-225-6742",
            "fax_number": "515-224-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEICHMAN",
        "first_name": "KENTON",
        "middle_name": "CHARLES",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "6867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "884242",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0204180",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Rebecca Gillon, TLMHC
• Gina Campbell Counseling, LLC
• Rose Giorgio-Nelson, M.A. CCC-SLP
• Christopher Gipple, D.D.S.
• Mariah Girling
• Stephane M Glick
• Jeremy Gloston
• Sara Colette Glover, PA-C
• Christopher Craig Glynn, D.D.S.
• Linda Gobberdiel, RD LD

• General Practice Dentistry in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• General Practice Dentistry in Iowa

• 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.