Individual provider Active NPI

Andrew William Glassick, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Charlottesville, VA
National Provider Identifier
1386887867
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0401415634 Issued in VA
Practice address
2202 N Berkshire Rd Ste 101
Charlottesville, VA 22901-2761
Phone
(434) 296-0188
NPI assigned
Apr 13, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10152 CO
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 10152 CO
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 8798 NC
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 0401415634 VA Primary

Addresses

Primary practice location

2202 N Berkshire Rd Ste 101
Charlottesville, VA 22901-2761

Mailing address

2202 N Berkshire Rd Ste 101
Charlottesville, VA 22901-2761
Phone (336) 655-3460

Other practice location 1

10897 E 28th Pl
Denver, CO 80238-3224
Phone (336) 655-3460

Other practice location 2

1005 Heathercroft Cir Ste 200
Crozet, VA 22932-3373
Phone (434) 205-4457

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10152COMDGeneral Practice Dentistry
0401415634VAMDOrthodontics and Dentofacial Orthopedic Dentist
8798NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hamer & Hamer DDS PC Orthodontics and Dentofacial Orthopedics Past Accepting new patients
Glassick Orthodontics, PC Orthodontics and Dentofacial Orthopedics PastSince Oct 17, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1386887867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 N BERKSHIRE RD STE 101",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012761",
            "telephone_number": "336-655-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 N BERKSHIRE RD STE 101",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012761",
            "telephone_number": "434-296-0188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10897 E 28th Pl",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802383224",
            "country_code": "US",
            "telephone_number": "336-655-3460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 Heathercroft Cir Ste 200",
            "address_purpose": "LOCATION",
            "city": "Crozet",
            "state": "VA",
            "postal_code": "229323373",
            "country_code": "US",
            "telephone_number": "434-205-4457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLASSICK",
        "first_name": "ANDREW",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "10152",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "10152",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "8798",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401415634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.