Active NPI
Michele Ellen Gladstone, DDS
- General Practice Physician
- Langhorne, PA
National Provider Identifier
1164524526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- D2228597
- Practice address
- 920 Town Center Dr
Suite I30 Oxford Court Business Center
Langhorne, PA 19047 - Phone
- (215) 752-4490
- Fax
- (215) 752-7634
- NPI assigned
- Sep 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | D2228597 | PA | Primary |
Addresses
Primary practice location
920 Town Center Dr
Suite I30 Oxford Court Business Center
Langhorne, PA 19047
Mailing address
920 Town Center Dr
Suite I30 Oxford Court Business Center
Langhorne, PA 19047
Phone (215) 752-4490
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
| License | State | Type | Specialty |
|---|---|---|---|
| D2228597 | PA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164524526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 TOWN CENTER DR",
"address_2": "SUITE I30 OXFORD COURT BUSINESS CENTER",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "19047",
"telephone_number": "215-752-4490",
"fax_number": "215-752-7634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 TOWN CENTER DR",
"address_2": "SUITE I30 OXFORD COURT BUSINESS CENTER",
"city": "LANGHORNE",
"state": "PA",
"postal_code": "19047",
"telephone_number": "215-752-4490",
"fax_number": "215-752-7634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLADSTONE",
"first_name": "MICHELE",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PA",
"license": "D2228597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Langhorne, PA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.