Individual provider Active NPI

Karl Jay Glassman, D.D.S.

  • General Practice Dentistry
  • Allentown, PA
National Provider Identifier
1477743433
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS016411L Issued in PA
Practice address
1150 Glenlivet Dr
Suite C-38
Allentown, PA 18106-3112
Phone
(610) 395-0980
Fax
(484) 223-1933
NPI assigned
Jul 26, 2007
Last updated
Nov 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS016411L PA Primary

Addresses

Primary practice location

1150 Glenlivet Dr
Suite C-38
Allentown, PA 18106-3112

Mailing address

1150 Glenlivet Dr
Suite C-38
Allentown, PA 18106-3112
Phone (610) 395-0980

Other identifiers 1

IdentifierTypeStateIssuer
1780745471OtherPANPI

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
DS016411LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Green Hills Family & Cosmetic Dentistry, P.C. General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226361600000",
    "number": "1477743433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 GLENLIVET DR",
            "address_2": "SUITE C-38",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181063112",
            "telephone_number": "610-395-0980",
            "fax_number": "484-223-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 GLENLIVET DR",
            "address_2": "SUITE C-38",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181063112",
            "telephone_number": "610-395-0980",
            "fax_number": "484-223-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASSMAN",
        "first_name": "KARL",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2008-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS016411L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1780745471",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.