Organization Active NPI

James F. Gleason, DDS, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Webster, NY
National Provider Identifier
1194957555
Registry record updated Aug 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0542791 Issued in NY
Legal business name
JAMES F. GLEASON, DDS, PC
Practice address
246 South Ave
Webster, NY 14580-3534
Phone
(585) 216-1025
NPI assigned
Aug 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2009

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

Authorized official

Name
Dr. James Francis Gleason, DDS, MS
Title
President
Phone
(585) 216-1025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 0542791 NY Primary

Addresses

Primary practice location

246 South Ave
Webster, NY 14580-3534

Mailing address

246 South Ave
Webster, NY 14580-3534

Other identifiers 1

IdentifierTypeStateIssuer
03109533MedicaidNY

National Provider Directory

National Provider Directory

Locations

246 South Ave
Webster, NY 14580
Phone (585) 216-1025

NPI Registry JSON

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

{
    "created_epoch": "1250640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250640000000",
    "number": "1194957555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 SOUTH AVE",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145803534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 SOUTH AVE",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145803534",
            "telephone_number": "585-216-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES F. GLEASON, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-19",
        "last_updated": "2009-08-19",
        "status": "A",
        "authorized_official_last_name": "GLEASON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-216-1025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "0542791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03109533",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; 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.