Active NPI
Richard Ira Glassman, D.O.
- Family Medicine Physician
- Aurora, CO
National Provider Identifier
1285764852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19399
- Practice address
- 830 Potomac Cir
Unit 295
Aurora, CO 80011-6750 - Phone
- (303) 340-3360
- Fax
- (303) 366-7370
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 19399 | CO | Primary |
Addresses
Primary practice location
830 Potomac Cir
Unit 295
Aurora, CO 80011-6750
Mailing address
830 Potomac Cir
Unit 295
Aurora, CO 80011-6750
Phone (303) 340-3360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01193994 | Medicaid | CO |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19399 | CO | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285764852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 POTOMAC CIR",
"address_2": "UNIT 295",
"city": "AURORA",
"state": "CO",
"postal_code": "800116750",
"telephone_number": "303-340-3360",
"fax_number": "303-366-7370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 POTOMAC CIR",
"address_2": "UNIT 295",
"city": "AURORA",
"state": "CO",
"postal_code": "800116750",
"telephone_number": "303-340-3360",
"fax_number": "303-366-7370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASSMAN",
"first_name": "RICHARD",
"middle_name": "IRA",
"name_prefix": "Mr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "19399",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01193994",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
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.