NPIMap

Organization Active NPI

Timothy J Glupker DDS

Doing business as Glupker Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Holland, MI
National Provider Identifier
1275160707
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
TIMOTHY J GLUPKER DDS
Doing business as
Glupker Orthodontics
Practice address
203 Riley St
Holland, MI 49424-1701
Phone
(616) 399-7110
NPI assigned
Mar 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Authorized official

Name
Dr. Leslie Nicole Glupker, DDSNPI 1154615961
Title
Orthodontist
Phone
(616) 399-7110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

203 Riley St
Holland, MI 49424-1701

Mailing address

203 Riley St
Holland, MI 49424-1701
Phone (616) 399-7110

Other names 1

  • Glupker Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

203 Riley St
Holland, MI 49424
Phone (616) 399-7110

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585094400000",
    "number": "1275160707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 RILEY ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494241701",
            "telephone_number": "616-399-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 RILEY ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494241701",
            "telephone_number": "616-399-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY J GLUPKER DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A",
        "authorized_official_last_name": "GLUPKER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "616-399-7110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glupker Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.