Glenn a Reaves DDS

Primary specialty

DentistTaxonomy code 122300000X

License

032955 Issued in NY

Legal business name

GLENN A REAVES DDS

Practice address

4301 Middle Settlement Rd
New Hartford, NY 13413

Phone

(315) 736-0139

Fax

(315) 768-6148

NPI assigned

Jul 19, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Glenn Ashley Reaves, DDS

Title

Owner - General Dentist

Phone

(315) 736-0139

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1326047515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 MIDDLE SETTLEMENT RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "13413",
            "telephone_number": "315-736-0139",
            "fax_number": "315-768-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 MIDDLE SETTLEMENT RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "13413",
            "telephone_number": "315-736-0139",
            "fax_number": "315-768-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN A REAVES DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "REAVES",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER - GENERAL DENTIST",
        "authorized_official_telephone_number": "315-736-0139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "032955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00551102",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Giordano, CRNA
• Zachary Giorgi, PHARMD
• Eric Giovannone, DMD
• Giovanna Giovannone, OD
• Rachel S Givens
• Lev Goldiner, MD
• Dennis Golis, RPAC
• Justin-Theodore Hunter Gondeck, PHARMD
• Barbara Brooks Goodman, MSW
• Daniel C. Goodman, M.D.

• Dentist in New Hartford, NY
• Providers in New Hartford, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.