NPIMap

Organization Active NPI

Glick & Ritch Endo North Andover PC

  • Endodontics
  • North Andover, MA
National Provider Identifier
1366940389
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
GLICK & RITCH ENDO NORTH ANDOVER PC
Practice address
140 Willow St # 2
North Andover, MA 01845-5918
Phone
(978) 686-3500
NPI assigned
Jan 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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

Authorized official

Name
Ian B Glick, DDS
Title
President
Phone
(978) 687-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X MA Primary

Addresses

Primary practice location

140 Willow St # 2
North Andover, MA 01845-5918

Mailing address

11 Apache Ave
Andover, MA 01810-4738
Phone (978) 687-3131

Other names 1

  • Endodontic Specialists Andover Doing business as

National Provider Directory

National Provider Directory

Locations

140 Willow St
Ste 2
North Andover, MA 01845
Phone (978) 686-3500

NPI Registry JSON

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1366940389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 APACHE AVE",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018104738",
            "telephone_number": "978-687-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WILLOW ST # 2",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455918",
            "telephone_number": "978-686-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLICK & RITCH ENDO NORTH ANDOVER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "GLICK",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-687-3131",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endodontic Specialists Andover",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.