Organization Active NPI

Matthew W Glasgow DDS PC

  • General Practice Dentistry
  • Blacksburg, VA
National Provider Identifier
1447442637
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401007032 Issued in VA
Legal business name
MATTHEW W GLASGOW DDS PC
Practice address
220 Progress St NE
Blacksburg, VA 24060-7320
Phone
(540) 552-3111
Fax
(540) 381-9599
NPI assigned
Aug 13, 2007
Last updated
Aug 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Authorized official

Name
Dr. Matthew Willis Glasgow, DDSNPI 1629114558
Title
President/Dentist
Phone
(540) 552-3111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0401007032 VA Primary

Addresses

Primary practice location

220 Progress St NE
Blacksburg, VA 24060-7320

Mailing address

220 Progress St NE
Blacksburg, VA 24060-7320
Phone (540) 552-3111

National Provider Directory

National Provider Directory

Locations

220 Progress St NE
Blacksburg, VA 24060
Phone (540) 552-3111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1447442637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 PROGRESS ST NE",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607320",
            "telephone_number": "540-552-3111",
            "fax_number": "540-381-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 PROGRESS ST NE",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607320",
            "telephone_number": "540-552-3111",
            "fax_number": "540-381-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW W GLASGOW DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "GLASGOW",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "WILLIS",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "540-552-3111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.