NPIMap

Organization Active NPI

Gene R. Glover, DDS, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Wilson, NC
National Provider Identifier
1386851632
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
5216 Issued in NC
Legal business name
GENE R. GLOVER, DDS, PA
Practice address
1706 Medical Park Dr W
Wilson, NC 27893-2705
Phone
(252) 243-3223
Fax
(252) 243-3668
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gene R. Glover, DDSNPI 1598709701
Title
President
Phone
(252) 243-3223

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 5216 NC Primary

Addresses

Primary practice location

1706 Medical Park Dr W
Wilson, NC 27893-2705

Mailing address

1706 Medical Park Dr W
Wilson, NC 27893-2705
Phone (252) 243-3223

Other identifiers 6

IdentifierTypeStateIssuer
8993231MedicaidNC
93231OtherNCBCBS PROVIDER NUMBER
014UUOtherNCBCBS GROUP NUMBER
01497002OtherNCUNITED CONCORDIA GROUP NO
89014UUMedicaidNC
539583OtherNCUNITED CONCORDIA NUMBER

National Provider Directory

National Provider Directory

Locations

1706 Medical Park Dr W
Wilson, NC 27893
Phone (252) 243-3223

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386851632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 MEDICAL PARK DR W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278932705",
            "telephone_number": "252-243-3223",
            "fax_number": "252-243-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 MEDICAL PARK DR W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278932705",
            "telephone_number": "252-243-3223",
            "fax_number": "252-243-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENE R. GLOVER, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-243-3223",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "5216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8993231",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "93231",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "014UU",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA GROUP NO",
            "identifier": "01497002",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89014UU",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA NUMBER",
            "identifier": "539583",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.