Zachary David Glaus, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D-5168 Issued in ID

Practice address

1601 12TH Ave Rd Ste 103
Nampa, ID 83686-6185

Phone

(208) 467-9690

NPI assigned

Jun 26, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gentle Dental Care PLLC

  • General Practice Dentistry
  • Nampa, ID
  • NPI 1902077001
  NPD (past)

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1316564271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1184 W COASTAL DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 12TH AVE RD STE 103",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866185",
            "telephone_number": "208-467-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLAUS",
        "first_name": "ZACHARY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D-5168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Koltenuk Gladd, AU.D.
• Carl R Glaettli II, DC
• Joseph N Glaettli, DC
• Mollie Glaspell
• Deborah Susan Glasscock, LMSW
• Nicolle Lenna Gleason, DPT
• Amanda Jean Davis Gleim, LPC
• Karen L Godard, RNC, CPNP
• David Neal Goldstein, LCPC 6008
• Victoria H Goltry, MD

• Dentist in Nampa, ID
• Providers in Nampa, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.