Individual provider Active NPI

Daniel Glatt, D.D.S.

  • Endodontics
  • Lawrence, NY
National Provider Identifier
1235569534
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
050031 Issued in NY
Practice address
135 Rockaway Tpke
Suite 110
Lawrence, NY 11559-1031
Phone
(516) 371-7717
Fax
(516) 371-7118
NPI assigned
Nov 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 050031 NY Primary

Addresses

Primary practice location

135 Rockaway Tpke
Suite 110
Lawrence, NY 11559-1031

Mailing address

135 Rockaway Tpke
Suite 110
Lawrence, NY 11559-1031
Phone (516) 371-7717

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
050031NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385078400000",
    "number": "1235569534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 ROCKAWAY TPKE",
            "address_2": "SUITE 110",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591031",
            "telephone_number": "516-371-7717",
            "fax_number": "516-371-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 ROCKAWAY TPKE",
            "address_2": "SUITE 110",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591031",
            "telephone_number": "516-371-7717",
            "fax_number": "516-371-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLATT",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-22",
        "last_updated": "2013-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "050031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.