Active NPI
Andrew William Glassick, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Charlottesville, VA
National Provider Identifier
1386887867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 0401415634
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10152 | CO | MD | General Practice Dentistry |
| 0401415634 | VA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 8798 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamer & Hamer DDS PC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
| Glassick Orthodontics, PC | Orthodontics and Dentofacial Orthopedics | Past | 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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Charlottesville, VA
- NPI 1639831043
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Charlottesville, VA
- NPI 1104923259
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.