Jason T Gladwell D.D,S., P.a.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

7981 Issued in NC

Legal business name

JASON T GLADWELL D.D,S., P.A.

Doing business as

Gladwell Orthodontics

Practice address

2824 Rogers Rd
Suite 200
Wake Forest, NC 27587

Phone

(919) 923-8513

NPI assigned

Jul 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jason Thomas Gladwell, D.D.S., M.S.D.NPI 1518174606

Title

Ceo/ Orthodontist

Phone

(919) 923-8513

Specialties & licenses 1

Addresses

Other names 1

• Gladwell Orthodontics Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Jason Thomas Gladwell, D.D.S., M.S.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Wake Forest, NC
  • NPI 1518174606
  NPD (past) Authorized official

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1467642082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 ROGERS RD",
            "address_2": "#330",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879306",
            "telephone_number": "919-923-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2824 ROGERS RD",
            "address_2": "SUITE 200",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "27587",
            "telephone_number": "919-923-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON T GLADWELL D.D,S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "GLADWELL",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO/ ORTHODONTIST",
        "authorized_official_telephone_number": "919-923-8513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "7981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gladwell Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Latonja M. Ivery, M. D.
• Melissa Ann Jackson-Westbrook, PSY.D.
• Carim Jackson
• Anitha Kamla Jain-Rodriguez, M.D.
• John Blaine Jarema, MA, CRC, LPC, CLCP
• Javeria Nasir DDS
• Si Eun Jeon, D. D. S
• Jess Beu Integrative Therapy
• Joanna Gamble DMD, PLLC
• John F. Kubiak, LMFT, PLLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.